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Gigantic Suprapubic Lymphedema: A Case Study

Identifieur interne : 002412 ( Pmc/Curation ); précédent : 002411; suivant : 002413

Gigantic Suprapubic Lymphedema: A Case Study

Auteurs : Roozbeh Tanhaeivash [Allemagne] ; Tobias Franiel [Allemagne] ; Marc-Oliver Grimm [Allemagne] ; Marcus Horstmann [Allemagne]

Source :

RBID : PMC:4999489

Abstract

We present the first case study of idiopathic gigantic suprapubic lymphedema and buried penis treated with puboscrotal reconstruction in a patient with initial extreme obesity after an extensive weight reduction (120 kg). Massive localized lymphedema of the suprapubic region should be differentiated from the scrotal type. Severe lymphedema could not resolve on its own and weight reduction does not seem to be helpful in such cases.


Url:
DOI: 10.5534/wjmh.2016.34.2.148
PubMed: 27574599
PubMed Central: 4999489

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<surname>Tanhaeivash</surname>
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<label>1</label>
Department of Urology, Friedrich Schiller University, Jena, Germany.</aff>
<aff id="A2">
<label>2</label>
Institute of Radiology, Friedrich Schiller University, Jena, Germany.</aff>
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<corresp>Correspondence to: Marcus Horstmann. Department of Urology, Friedrich Schiller University, Lessing St. 1, 07743 Jena, Germany. Tel: +49-2151-452-278, Fax: +49-2151-452-270,
<email>marcushorstmann@gmx.ch</email>
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<year>2016</year>
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<pub-date pub-type="epub">
<day>23</day>
<month>8</month>
<year>2016</year>
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<volume>34</volume>
<issue>2</issue>
<fpage>148</fpage>
<lpage>152</lpage>
<history>
<date date-type="received">
<day>20</day>
<month>2</month>
<year>2016</year>
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<date date-type="rev-recd">
<day>03</day>
<month>5</month>
<year>2016</year>
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<month>5</month>
<year>2016</year>
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<copyright-statement>Copyright © 2016 Korean Society for Sexual Medicine and Andrology</copyright-statement>
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<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/4.0">http://creativecommons.org/licenses/by-nc/4.0</ext-link>
) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<p>We present the first case study of idiopathic gigantic suprapubic lymphedema and buried penis treated with puboscrotal reconstruction in a patient with initial extreme obesity after an extensive weight reduction (120 kg). Massive localized lymphedema of the suprapubic region should be differentiated from the scrotal type. Severe lymphedema could not resolve on its own and weight reduction does not seem to be helpful in such cases.</p>
</abstract>
<kwd-group>
<kwd>Abdominoplasty</kwd>
<kwd>Adiposity</kwd>
<kwd>Elephantiasis</kwd>
<kwd>Reconstructive surgical procedures</kwd>
</kwd-group>
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<floats-group>
<fig id="F1" orientation="portrait" position="float">
<label>Fig. 1</label>
<caption>
<title>Ventral aspect of the massive localized lymphedema of the suprapubic region prior to surgery.</title>
</caption>
<graphic xlink:href="wjmh-34-148-g001"></graphic>
</fig>
<fig id="F2" orientation="portrait" position="float">
<label>Fig. 2</label>
<caption>
<title>The penile orifice and normal-sized testes can be seen after the mass is moved upwards.</title>
</caption>
<graphic xlink:href="wjmh-34-148-g002"></graphic>
</fig>
<fig id="F3" orientation="portrait" position="float">
<label>Fig. 3</label>
<caption>
<title>A preoperative coronal computed tomography image. Right-pointing thick arrow, an enlarged lymph node; left-pointing arrow, dilated veins; circles, edematous soft tissue; stars, thickened cutis vera.</title>
</caption>
<graphic xlink:href="wjmh-34-148-g003"></graphic>
</fig>
<fig id="F4" orientation="portrait" position="float">
<label>Fig. 4</label>
<caption>
<title>Surgical steps leading to the resection of the mass.</title>
</caption>
<graphic xlink:href="wjmh-34-148-g004"></graphic>
</fig>
<fig id="F5" orientation="portrait" position="float">
<label>Fig. 5</label>
<caption>
<title>Postoperative appearance after ellipsoid tissue resection and puboscrotal reconstruction.</title>
</caption>
<graphic xlink:href="wjmh-34-148-g005"></graphic>
</fig>
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