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Surgical treatment of lymphedema of the penis and scrotum.

Identifieur interne : 002379 ( Ncbi/Merge ); précédent : 002378; suivant : 002380

Surgical treatment of lymphedema of the penis and scrotum.

Auteurs : Miguel Modolin [Brésil] ; Anuar Ibrahim Mitre ; José Carlos Faes Da Silva ; Wilson Cintra ; Ana Paula Quagliano ; Sami Arap ; Marcus Castro Ferreira

Source :

RBID : pubmed:16924318

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English descriptors

Abstract

Lymphedema of the penis and scrotum, regardless of its etiology, is determined by reduced lymphatic flow with subsequent enlargement of the penis and scrotum. The clinical course of this condition is characterized by extreme discomfort for patients, with limitation of local hygiene, ambulation, sexual intercourse, and voiding in the standing position. The purpose of the present study is to present the experience and results of the treatment of lymphedema of the penis and scrotum by removing affected tissues and correcting the penoscrotal region.

PubMed: 16924318

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pubmed:16924318

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<title xml:lang="en">Surgical treatment of lymphedema of the penis and scrotum.</title>
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<name sortKey="Modolin, Miguel" sort="Modolin, Miguel" uniqKey="Modolin M" first="Miguel" last="Modolin">Miguel Modolin</name>
<affiliation wicri:level="4">
<nlm:affiliation>Plastic Surgery/Urology Faculty of Medicine, University of São Paulo. miguelmodolin@uol.com.br</nlm:affiliation>
<country>Brésil</country>
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<settlement type="city">São Paulo</settlement>
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<orgName type="university">Université de São Paulo</orgName>
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<name sortKey="Mitre, Anuar Ibrahim" sort="Mitre, Anuar Ibrahim" uniqKey="Mitre A" first="Anuar Ibrahim" last="Mitre">Anuar Ibrahim Mitre</name>
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<name sortKey="Da Silva, Jose Carlos Faes" sort="Da Silva, Jose Carlos Faes" uniqKey="Da Silva J" first="José Carlos Faes" last="Da Silva">José Carlos Faes Da Silva</name>
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<name sortKey="Cintra, Wilson" sort="Cintra, Wilson" uniqKey="Cintra W" first="Wilson" last="Cintra">Wilson Cintra</name>
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<name sortKey="Quagliano, Ana Paula" sort="Quagliano, Ana Paula" uniqKey="Quagliano A" first="Ana Paula" last="Quagliano">Ana Paula Quagliano</name>
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<name sortKey="Arap, Sami" sort="Arap, Sami" uniqKey="Arap S" first="Sami" last="Arap">Sami Arap</name>
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<name sortKey="Ferreira, Marcus Castro" sort="Ferreira, Marcus Castro" uniqKey="Ferreira M" first="Marcus Castro" last="Ferreira">Marcus Castro Ferreira</name>
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<name sortKey="Da Silva, Jose Carlos Faes" sort="Da Silva, Jose Carlos Faes" uniqKey="Da Silva J" first="José Carlos Faes" last="Da Silva">José Carlos Faes Da Silva</name>
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<name sortKey="Quagliano, Ana Paula" sort="Quagliano, Ana Paula" uniqKey="Quagliano A" first="Ana Paula" last="Quagliano">Ana Paula Quagliano</name>
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<name sortKey="Arap, Sami" sort="Arap, Sami" uniqKey="Arap S" first="Sami" last="Arap">Sami Arap</name>
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<title level="j">Clinics (Sao Paulo, Brazil)</title>
<idno type="ISSN">1807-5932</idno>
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<date when="2006" type="published">2006</date>
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<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Follow-Up Studies</term>
<term>Genital Diseases, Male (pathology)</term>
<term>Genital Diseases, Male (surgery)</term>
<term>Humans</term>
<term>Lymph Node Excision</term>
<term>Lymphedema (pathology)</term>
<term>Lymphedema (surgery)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Penile Diseases (pathology)</term>
<term>Penile Diseases (surgery)</term>
<term>Scrotum (pathology)</term>
<term>Scrotum (surgery)</term>
<term>Surgical Flaps</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Humains</term>
<term>Lambeaux chirurgicaux</term>
<term>Lymphadénectomie</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (anatomopathologie)</term>
<term>Maladies de l'appareil génital mâle ()</term>
<term>Maladies de l'appareil génital mâle (anatomopathologie)</term>
<term>Maladies du pénis ()</term>
<term>Maladies du pénis (anatomopathologie)</term>
<term>Mâle</term>
<term>Résultat thérapeutique</term>
<term>Scrotum ()</term>
<term>Scrotum (anatomopathologie)</term>
<term>Sujet âgé</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Lymphoedème</term>
<term>Maladies de l'appareil génital mâle</term>
<term>Maladies du pénis</term>
<term>Scrotum</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Genital Diseases, Male</term>
<term>Lymphedema</term>
<term>Penile Diseases</term>
<term>Scrotum</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Genital Diseases, Male</term>
<term>Lymphedema</term>
<term>Penile Diseases</term>
<term>Scrotum</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Lymph Node Excision</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Surgical Flaps</term>
<term>Treatment Outcome</term>
</keywords>
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<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Humains</term>
<term>Lambeaux chirurgicaux</term>
<term>Lymphadénectomie</term>
<term>Lymphoedème</term>
<term>Maladies de l'appareil génital mâle</term>
<term>Maladies du pénis</term>
<term>Mâle</term>
<term>Résultat thérapeutique</term>
<term>Scrotum</term>
<term>Sujet âgé</term>
<term>Études de suivi</term>
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<front>
<div type="abstract" xml:lang="en">Lymphedema of the penis and scrotum, regardless of its etiology, is determined by reduced lymphatic flow with subsequent enlargement of the penis and scrotum. The clinical course of this condition is characterized by extreme discomfort for patients, with limitation of local hygiene, ambulation, sexual intercourse, and voiding in the standing position. The purpose of the present study is to present the experience and results of the treatment of lymphedema of the penis and scrotum by removing affected tissues and correcting the penoscrotal region.</div>
</front>
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<DateCreated>
<Year>2006</Year>
<Month>08</Month>
<Day>22</Day>
</DateCreated>
<DateCompleted>
<Year>2007</Year>
<Month>05</Month>
<Day>03</Day>
</DateCompleted>
<DateRevised>
<Year>2009</Year>
<Month>05</Month>
<Day>20</Day>
</DateRevised>
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<ISSN IssnType="Print">1807-5932</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>61</Volume>
<Issue>4</Issue>
<PubDate>
<Year>2006</Year>
<Month>Aug</Month>
</PubDate>
</JournalIssue>
<Title>Clinics (Sao Paulo, Brazil)</Title>
<ISOAbbreviation>Clinics (Sao Paulo)</ISOAbbreviation>
</Journal>
<ArticleTitle>Surgical treatment of lymphedema of the penis and scrotum.</ArticleTitle>
<Pagination>
<MedlinePgn>289-94</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Lymphedema of the penis and scrotum, regardless of its etiology, is determined by reduced lymphatic flow with subsequent enlargement of the penis and scrotum. The clinical course of this condition is characterized by extreme discomfort for patients, with limitation of local hygiene, ambulation, sexual intercourse, and voiding in the standing position. The purpose of the present study is to present the experience and results of the treatment of lymphedema of the penis and scrotum by removing affected tissues and correcting the penoscrotal region.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Seventeen patients with lymphedema of the penis and scrotum were treated with a modified Charles procedure, which consists of the excision of the affected skin followed by scrotoplasty and midline suture simulating the scrotal raphe. The penis is covered with a split-thickness skin graft by means of a zigzag suture on its ventral surface.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Regression of symptoms and improvement of previous clinical conditions were verified in the follow-up which ranged from 6 months to 6 years. One patient who had undergone lymphadenectomy with radiation therapy due to penile cancer had recurrent scrotum lymphedema.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The modified Charles procedure for the treatment of penoscrotal lymphedema is easily reproducible and allows better local hygiene, easier ambulation, voiding in the standing position, resuming sexual intercourse, and finally, better cosmetic results in the affected area with remarkable improvement in quality of life.</AbstractText>
</Abstract>
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<LastName>Modolin</LastName>
<ForeName>Miguel</ForeName>
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<Affiliation>Plastic Surgery/Urology Faculty of Medicine, University of São Paulo. miguelmodolin@uol.com.br</Affiliation>
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<ForeName>Anuar Ibrahim</ForeName>
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<ForeName>Sami</ForeName>
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<ForeName>Marcus Castro</ForeName>
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<Language>eng</Language>
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<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<DescriptorName UI="D010409" MajorTopicYN="N">Penile Diseases</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
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<MeshHeading>
<DescriptorName UI="D012611" MajorTopicYN="N">Scrotum</DescriptorName>
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<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
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<noCountry>
<name sortKey="Arap, Sami" sort="Arap, Sami" uniqKey="Arap S" first="Sami" last="Arap">Sami Arap</name>
<name sortKey="Cintra, Wilson" sort="Cintra, Wilson" uniqKey="Cintra W" first="Wilson" last="Cintra">Wilson Cintra</name>
<name sortKey="Da Silva, Jose Carlos Faes" sort="Da Silva, Jose Carlos Faes" uniqKey="Da Silva J" first="José Carlos Faes" last="Da Silva">José Carlos Faes Da Silva</name>
<name sortKey="Ferreira, Marcus Castro" sort="Ferreira, Marcus Castro" uniqKey="Ferreira M" first="Marcus Castro" last="Ferreira">Marcus Castro Ferreira</name>
<name sortKey="Mitre, Anuar Ibrahim" sort="Mitre, Anuar Ibrahim" uniqKey="Mitre A" first="Anuar Ibrahim" last="Mitre">Anuar Ibrahim Mitre</name>
<name sortKey="Quagliano, Ana Paula" sort="Quagliano, Ana Paula" uniqKey="Quagliano A" first="Ana Paula" last="Quagliano">Ana Paula Quagliano</name>
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<country name="Brésil">
<region name="État de São Paulo">
<name sortKey="Modolin, Miguel" sort="Modolin, Miguel" uniqKey="Modolin M" first="Miguel" last="Modolin">Miguel Modolin</name>
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