Genital lymphoedema: pathology, reconstruction and outcomes.

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  • Additional Information
    • Affiliation:
      Resident Physician, Division of Plastic and Reconstructive Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
      Resident Physician, Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
      Professor of Urology, Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
      Assistant Professor of Clinical Surgery, Division of Plastic and Reconstructive Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      Background: Penile and scrotal lymphoedema is a debilitating complication following lymph node dissection, radiation, or in the setting of obesity. Treatment is aimed at improving cosmesis and reducing urologic complications. Aims: To describe our experience with the surgical correction of peno-scrotal lymphoedema. Methods: A retrospective review of all patients who underwent surgical treatment for penoscrotal lymphoedema was performed. Comorbidities, technical approaches and functional outcomes were evaluated. Results: Twelve patients were included with an average age of 55.9 (16.6 - 74.4, standard deviation 19.4) years. Presenting symptoms included penile and scrotal oedema (seven patients), scrotal oedema (three), penile oedema (one), and suprapubic and scrotal oedema (one). Causes included obesity (four), radiation therapy (three), pelvic lymph node dissection (two) and unknown (two). Surgical procedures performed included penoplasty and scrotoplasty (eight), scrotoplasty (three), and penoplasty (one). Immediate complications developed in four patients and long-term complications in seven patients. Lymphoedema recurrence rate was seen in four (33.3%) patients out of 12, while three (25%) patients required reoperation. Conclusion: Our series describes a surgical technique with repeatedly favourable outcomes and highlights the necessity for multidisciplinary care to improve treatment outcomes.
    • Journal Subset:
      Biomedical; Europe; Peer Reviewed; UK & Ireland
    • ISSN:
      1750-7235
    • Publication Date:
      20190624
    • Publication Date:
      20190624
    • Accession Number:
      137104875
  • Citations
    • ABNT:
      AZADGOLI, B. et al. Genital lymphoedema: pathology, reconstruction and outcomes. Journal of Lymphoedema, [s. l.], v. 14, n. 1, p. 25–28, 2019. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=137104875&custid=s6224580. Acesso em: 24 fev. 2020.
    • AMA:
      Azadgoli B, Gould DJ, Ghodoussipour S, Boyd SD, Carey JN. Genital lymphoedema: pathology, reconstruction and outcomes. Journal of Lymphoedema. 2019;14(1):25-28. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=137104875&custid=s6224580. Accessed February 24, 2020.
    • APA:
      Azadgoli, B., Gould, D. J., Ghodoussipour, S., Boyd, S. D., & Carey, J. N. (2019). Genital lymphoedema: pathology, reconstruction and outcomes. Journal of Lymphoedema, 14(1), 25–28.
    • Chicago/Turabian: Author-Date:
      Azadgoli, Beina, Daniel J. Gould, Saum Ghodoussipour, Stuart D. Boyd, and Joseph N. Carey. 2019. “Genital Lymphoedema: Pathology, Reconstruction and Outcomes.” Journal of Lymphoedema 14 (1): 25–28. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=137104875&custid=s6224580.
    • Harvard:
      Azadgoli, B. et al. (2019) ‘Genital lymphoedema: pathology, reconstruction and outcomes’, Journal of Lymphoedema, 14(1), pp. 25–28. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=137104875&custid=s6224580 (Accessed: 24 February 2020).
    • Harvard: Australian:
      Azadgoli, B, Gould, DJ, Ghodoussipour, S, Boyd, SD & Carey, JN 2019, ‘Genital lymphoedema: pathology, reconstruction and outcomes’, Journal of Lymphoedema, vol. 14, no. 1, pp. 25–28, viewed 24 February 2020, .
    • MLA:
      Azadgoli, Beina, et al. “Genital Lymphoedema: Pathology, Reconstruction and Outcomes.” Journal of Lymphoedema, vol. 14, no. 1, June 2019, pp. 25–28. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=137104875&custid=s6224580.
    • Chicago/Turabian: Humanities:
      Azadgoli, Beina, Daniel J. Gould, Saum Ghodoussipour, Stuart D. Boyd, and Joseph N. Carey. “Genital Lymphoedema: Pathology, Reconstruction and Outcomes.” Journal of Lymphoedema 14, no. 1 (June 2019): 25–28. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=137104875&custid=s6224580.
    • Vancouver/ICMJE:
      Azadgoli B, Gould DJ, Ghodoussipour S, Boyd SD, Carey JN. Genital lymphoedema: pathology, reconstruction and outcomes. Journal of Lymphoedema [Internet]. 2019 Jun [cited 2020 Feb 24];14(1):25–8. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=137104875&custid=s6224580