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Surgery Is the Last Resort for Huge Scrotal Lymphedema: A Series of Challenging Cases

We aim to provide our surgical techniques, and outcomes of functional scrotal reduction procedures with complete preservation of the genitourinary original anatomy in a simple way without using complicated skin grafting or skin advancement flaps in Patients with huge and long-standing scrotal lymphe...

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Autores principales: ElKiran, Yasser M., Elshafei, Amr M., Abdelgawad, Mohamed S., Kamel, Mohammed F., Sharaf-Eldeen, Hesham A., Abdelmaksoud, Mohammed A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical Publishers, Inc. 2023
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10049820/
https://www.ncbi.nlm.nih.gov/pubmed/36999141
http://dx.doi.org/10.1055/s-0042-1757572
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author ElKiran, Yasser M.
Elshafei, Amr M.
Abdelgawad, Mohamed S.
Kamel, Mohammed F.
Sharaf-Eldeen, Hesham A.
Abdelmaksoud, Mohammed A.
author_facet ElKiran, Yasser M.
Elshafei, Amr M.
Abdelgawad, Mohamed S.
Kamel, Mohammed F.
Sharaf-Eldeen, Hesham A.
Abdelmaksoud, Mohammed A.
author_sort ElKiran, Yasser M.
collection PubMed
description We aim to provide our surgical techniques, and outcomes of functional scrotal reduction procedures with complete preservation of the genitourinary original anatomy in a simple way without using complicated skin grafting or skin advancement flaps in Patients with huge and long-standing scrotal lymphedema 18 patients ages ranged from 14-65 with a median of 30 years. Functional scrotal and penoscrotal reduction was attained in all cases, without distortion of the genitourinary anatomy and without the need for advancement, rotational or free flaps, maximal scrotal diameter was reduced from median of 61[48-92] cms to a median of 25[21–29] cms ( P <0.0001) and remained almost unchanged at the end of the follow up period 26[22-34] cms ( P <0.0001). Sexual performance and voiding capacity were improved in all patients, testicular vascularity was unaffected and the Glasgow Benefit Inventory (GBI) for the quality of life showed marked enhancement in the total 55.5[50–72], general 55.5[50–72], social 100[50–100] and physical 16.6[16–33] points subscales. According to our experience, surgery remains the gold standard treatment for management of huge scrotal lymphedema, successful preservation of the genitourinary functions can be attained despite the size in most cases with excellent cosmoses.
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spelling pubmed-100498202023-03-29 Surgery Is the Last Resort for Huge Scrotal Lymphedema: A Series of Challenging Cases ElKiran, Yasser M. Elshafei, Amr M. Abdelgawad, Mohamed S. Kamel, Mohammed F. Sharaf-Eldeen, Hesham A. Abdelmaksoud, Mohammed A. Arch Plast Surg We aim to provide our surgical techniques, and outcomes of functional scrotal reduction procedures with complete preservation of the genitourinary original anatomy in a simple way without using complicated skin grafting or skin advancement flaps in Patients with huge and long-standing scrotal lymphedema 18 patients ages ranged from 14-65 with a median of 30 years. Functional scrotal and penoscrotal reduction was attained in all cases, without distortion of the genitourinary anatomy and without the need for advancement, rotational or free flaps, maximal scrotal diameter was reduced from median of 61[48-92] cms to a median of 25[21–29] cms ( P <0.0001) and remained almost unchanged at the end of the follow up period 26[22-34] cms ( P <0.0001). Sexual performance and voiding capacity were improved in all patients, testicular vascularity was unaffected and the Glasgow Benefit Inventory (GBI) for the quality of life showed marked enhancement in the total 55.5[50–72], general 55.5[50–72], social 100[50–100] and physical 16.6[16–33] points subscales. According to our experience, surgery remains the gold standard treatment for management of huge scrotal lymphedema, successful preservation of the genitourinary functions can be attained despite the size in most cases with excellent cosmoses. Thieme Medical Publishers, Inc. 2023-02-10 /pmc/articles/PMC10049820/ /pubmed/36999141 http://dx.doi.org/10.1055/s-0042-1757572 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( https://creativecommons.org/licenses/by/4.0/ ) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle ElKiran, Yasser M.
Elshafei, Amr M.
Abdelgawad, Mohamed S.
Kamel, Mohammed F.
Sharaf-Eldeen, Hesham A.
Abdelmaksoud, Mohammed A.
Surgery Is the Last Resort for Huge Scrotal Lymphedema: A Series of Challenging Cases
title Surgery Is the Last Resort for Huge Scrotal Lymphedema: A Series of Challenging Cases
title_full Surgery Is the Last Resort for Huge Scrotal Lymphedema: A Series of Challenging Cases
title_fullStr Surgery Is the Last Resort for Huge Scrotal Lymphedema: A Series of Challenging Cases
title_full_unstemmed Surgery Is the Last Resort for Huge Scrotal Lymphedema: A Series of Challenging Cases
title_short Surgery Is the Last Resort for Huge Scrotal Lymphedema: A Series of Challenging Cases
title_sort surgery is the last resort for huge scrotal lymphedema: a series of challenging cases
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10049820/
https://www.ncbi.nlm.nih.gov/pubmed/36999141
http://dx.doi.org/10.1055/s-0042-1757572
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