Surgical treatment of giant penile and scrotal lymphedema after syphilitic infection. Case report.

IF 0.4 4区 医学 Q4 SURGERY
A Dominience Menezes, D Lorenzo Cantamissa de Faria, L Fernandez de Córdova Rio de la Loza, R Cavalcanti Ribeiro
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引用次数: 0

Abstract

Penile and scrotal lymphedema is characterized by an abnormal retention of fluid in the subcutaneous tissue of the penis and scrotum, due to a deficiency in lymphatic drainage, causing edema, pain, dysuria and sexual dysfunction. The present report describes a patient with a giant penile and scrotal lymphedema after syphilitic infection, treated by excision of all the compromised skin and subcutaneous cellular tissue, with primary reconstruction with partial skin autograft and flap rotation. Literature review showed good functional results (erections and ejaculation) with the use of techniques that resected the skin and subcutaneous tissue and reconstructed the penis using skin grafts. This report can help in the differential diagnosis of lymphedema in the external genitalia and presents an aesthetical and functional reconstructive approach, showing the versatility and applicability of the graft and the fasciocutaneous flap of the thigh in this topography.

梅毒感染后巨大阴茎和阴囊淋巴水肿的手术治疗。病例报告。
阴茎和阴囊淋巴水肿的特点是由于淋巴引流不足导致阴茎和阴囊皮下组织液体异常潴留,引起水肿、疼痛、排尿困难和性功能障碍。本报告描述了一名梅毒感染后出现巨大阴茎和阴囊淋巴水肿的患者,治疗方法是切除所有受损的皮肤和皮下细胞组织,用部分皮肤自体移植和皮瓣旋转进行初次重建。文献综述显示,采用切除皮肤和皮下组织并使用植皮重建阴茎的技术,可获得良好的功能效果(勃起和射精)。本报告有助于外生殖器淋巴水肿的鉴别诊断,并介绍了一种美学和功能性重建方法,显示了大腿筋膜皮瓣移植在这种地形中的多功能性和适用性。
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来源期刊
CiteScore
1.00
自引率
0.00%
发文量
86
审稿时长
44 days
期刊介绍: Qu''elle soit réparatrice après un traumatisme, pratiquée à la suite d''une malformation ou motivée par la gêne psychologique dans la vie du patient, la chirurgie plastique et esthétique touche toutes les parties du corps humain et concerne une large communauté de chirurgiens spécialisés. Organe de la Société française de chirurgie plastique reconstructrice et esthétique, la revue publie 6 fois par an des éditoriaux, des mémoires originaux, des notes techniques, des faits cliniques, des actualités chirurgicales, des revues générales, des notes brèves, des lettres à la rédaction. Sont également présentés des analyses d''articles et d''ouvrages, des comptes rendus de colloques, des informations professionnelles et un agenda des manifestations de la spécialité.
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