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[External genitalia lymphedema. Case report].

Identifieur interne : 003528 ( PubMed/Curation ); précédent : 003527; suivant : 003529

[External genitalia lymphedema. Case report].

Auteurs : M C Franco Mora ; A. Pichín Quesada ; G. Giraudy Sim N ; M. Le N Estrada ; L H Candebat Montero ; I. Tamayo Tamayo

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RBID : pubmed:17847745

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Abstract

Penile and scrotal lymphedema produces a monstrous deformity with psychological impact and occasionally extreme mental anguish. The penis is buried in the scrotal tissue, deformed, thickened, edematous, and curved. The scrotum changes to a great, very thick, hard skin mass, sometimes cracked, exudative, and fetid. Erection and sexual intercourse are very difficult or impossible, and the scrotal enlargement interferes with walking. To report a new case of male external genitalia lymphedema.

PubMed: 17847745

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M C Franco Mora
<affiliation>
<nlm:affiliation>Servicio de Urología, Hospital Provincial Universitario Clínico Quirúrgico "Saturnino Lora Torres", Santiago de Cuba.</nlm:affiliation>
<wicri:noCountry code="subField">Santiago de Cuba</wicri:noCountry>
</affiliation>

Le document en format XML

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<title xml:lang="en">[External genitalia lymphedema. Case report].</title>
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<name sortKey="Franco Mora, M C" sort="Franco Mora, M C" uniqKey="Franco Mora M" first="M C" last="Franco Mora">M C Franco Mora</name>
<affiliation>
<nlm:affiliation>Servicio de Urología, Hospital Provincial Universitario Clínico Quirúrgico "Saturnino Lora Torres", Santiago de Cuba.</nlm:affiliation>
<wicri:noCountry code="subField">Santiago de Cuba</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Pichin Quesada, A" sort="Pichin Quesada, A" uniqKey="Pichin Quesada A" first="A" last="Pichín Quesada">A. Pichín Quesada</name>
</author>
<author>
<name sortKey="Giraudy Sim N, G" sort="Giraudy Sim N, G" uniqKey="Giraudy Sim N G" first="G" last="Giraudy Sim N">G. Giraudy Sim N</name>
</author>
<author>
<name sortKey="Le N Estrada, M" sort="Le N Estrada, M" uniqKey="Le N Estrada M" first="M" last="Le N Estrada">M. Le N Estrada</name>
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<author>
<name sortKey="Candebat Montero, L H" sort="Candebat Montero, L H" uniqKey="Candebat Montero L" first="L H" last="Candebat Montero">L H Candebat Montero</name>
</author>
<author>
<name sortKey="Tamayo Tamayo, I" sort="Tamayo Tamayo, I" uniqKey="Tamayo Tamayo I" first="I" last="Tamayo Tamayo">I. Tamayo Tamayo</name>
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<title xml:lang="en">[External genitalia lymphedema. Case report].</title>
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<name sortKey="Franco Mora, M C" sort="Franco Mora, M C" uniqKey="Franco Mora M" first="M C" last="Franco Mora">M C Franco Mora</name>
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<name sortKey="Le N Estrada, M" sort="Le N Estrada, M" uniqKey="Le N Estrada M" first="M" last="Le N Estrada">M. Le N Estrada</name>
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<author>
<name sortKey="Candebat Montero, L H" sort="Candebat Montero, L H" uniqKey="Candebat Montero L" first="L H" last="Candebat Montero">L H Candebat Montero</name>
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<author>
<name sortKey="Tamayo Tamayo, I" sort="Tamayo Tamayo, I" uniqKey="Tamayo Tamayo I" first="I" last="Tamayo Tamayo">I. Tamayo Tamayo</name>
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<series>
<title level="j">Archivos espanoles de urologia</title>
<idno type="ISSN">0004-0614</idno>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Humans</term>
<term>Lymphedema (pathology)</term>
<term>Lymphedema (surgery)</term>
<term>Male</term>
<term>Penile Diseases (pathology)</term>
<term>Penile Diseases (surgery)</term>
<term>Scrotum</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Humains</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (anatomopathologie)</term>
<term>Maladies du pénis ()</term>
<term>Maladies du pénis (anatomopathologie)</term>
<term>Mâle</term>
<term>Scrotum</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Lymphoedème</term>
<term>Maladies du pénis</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Lymphedema</term>
<term>Penile Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Lymphedema</term>
<term>Penile Diseases</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Humans</term>
<term>Male</term>
<term>Scrotum</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Humains</term>
<term>Lymphoedème</term>
<term>Maladies du pénis</term>
<term>Mâle</term>
<term>Scrotum</term>
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<front>
<div type="abstract" xml:lang="en">Penile and scrotal lymphedema produces a monstrous deformity with psychological impact and occasionally extreme mental anguish. The penis is buried in the scrotal tissue, deformed, thickened, edematous, and curved. The scrotum changes to a great, very thick, hard skin mass, sometimes cracked, exudative, and fetid. Erection and sexual intercourse are very difficult or impossible, and the scrotal enlargement interferes with walking. To report a new case of male external genitalia lymphedema.</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">17847745</PMID>
<DateCreated>
<Year>2007</Year>
<Month>09</Month>
<Day>12</Day>
</DateCreated>
<DateCompleted>
<Year>2007</Year>
<Month>12</Month>
<Day>06</Day>
</DateCompleted>
<DateRevised>
<Year>2007</Year>
<Month>09</Month>
<Day>12</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0004-0614</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>60</Volume>
<Issue>6</Issue>
<PubDate>
<MedlineDate>2007 Jul-Aug</MedlineDate>
</PubDate>
</JournalIssue>
<Title>Archivos espanoles de urologia</Title>
<ISOAbbreviation>Arch. Esp. Urol.</ISOAbbreviation>
</Journal>
<ArticleTitle>[External genitalia lymphedema. Case report].</ArticleTitle>
<Pagination>
<MedlinePgn>688-92</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">Penile and scrotal lymphedema produces a monstrous deformity with psychological impact and occasionally extreme mental anguish. The penis is buried in the scrotal tissue, deformed, thickened, edematous, and curved. The scrotum changes to a great, very thick, hard skin mass, sometimes cracked, exudative, and fetid. Erection and sexual intercourse are very difficult or impossible, and the scrotal enlargement interferes with walking. To report a new case of male external genitalia lymphedema.</AbstractText>
<AbstractText Label="METHODS/RESULTS" NlmCategory="RESULTS">We present a technical variation of the surgical treatment of penile-scrotal primary lymphedema in a 32-year-old patient suffering this disease for several years, which had underwent several medical and surgical treatments, such as lymphangioplasty and penile root fasciotomy. Observation consisted in the performance of two incisions in w-plasty, one at the root of the penis, the other one in the preserved preputial mucosa, and excision of all the lymphedematous tissue with reconstruction using the preputial mucosa and a small area of non infiltrated skin at the root of the penis. In the scrotum, two butterfly-wing shape skin flaps were performed; the testicles and the spermatic cord were isolated to ease the operation, minimize the surgical time and avoid complications; the lymphedematous tissue was resected with a great fragment of scrotum; finally reconstruction was performed from the adjacent healthy skin.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">With this technique it was not necessary to perform a free or vascularized skin graft. The patient recovered his penile functional capacity improved aesthetically and his anguish disappear.</AbstractText>
</Abstract>
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<LastName>Franco Mora</LastName>
<ForeName>M C</ForeName>
<Initials>MC</Initials>
<AffiliationInfo>
<Affiliation>Servicio de Urología, Hospital Provincial Universitario Clínico Quirúrgico "Saturnino Lora Torres", Santiago de Cuba.</Affiliation>
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<LastName>Pichín Quesada</LastName>
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<LastName>Giraudy Simón</LastName>
<ForeName>G</ForeName>
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<LastName>León Estrada</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
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<LastName>Candebat Montero</LastName>
<ForeName>L H</ForeName>
<Initials>LH</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Tamayo Tamayo</LastName>
<ForeName>I</ForeName>
<Initials>I</Initials>
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<Language>spa</Language>
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<PublicationType UI="D002363">Case Reports</PublicationType>
<PublicationType UI="D004740">English Abstract</PublicationType>
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</PublicationTypeList>
<VernacularTitle>Linfedema de genitales externos. Presentación de un caso.</VernacularTitle>
</Article>
<MedlineJournalInfo>
<Country>Spain</Country>
<MedlineTA>Arch Esp Urol</MedlineTA>
<NlmUniqueID>0064757</NlmUniqueID>
<ISSNLinking>0004-0614</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D008209" MajorTopicYN="Y">Lymphedema</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D010409" MajorTopicYN="Y">Penile Diseases</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012611" MajorTopicYN="Y">Scrotum</DescriptorName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
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<Year>2007</Year>
<Month>9</Month>
<Day>13</Day>
<Hour>9</Hour>
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<Minute>0</Minute>
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