Surgical treatment of lymphedema of the penis and scrotum.
Identifieur interne : 003900 ( PubMed/Curation ); précédent : 003899; suivant : 003901Surgical 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 FerreiraSource :
- Clinics (Sao Paulo, Brazil) [ 1807-5932 ] ; 2006.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Humains, Lambeaux chirurgicaux, Lymphadénectomie, Lymphoedème (), Lymphoedème (anatomopathologie), Maladies de l'appareil génital mâle (), Maladies de l'appareil génital mâle (anatomopathologie), Maladies du pénis (), Maladies du pénis (anatomopathologie), Mâle, Résultat thérapeutique, Scrotum (), Scrotum (anatomopathologie), Sujet âgé, Études de suivi.
- MESH :
- anatomopathologie : Lymphoedème, Maladies de l'appareil génital mâle, Maladies du pénis, Scrotum.
- Adolescent, Adulte, Adulte d'âge moyen, Humains, Lambeaux chirurgicaux, Lymphadénectomie, Lymphoedème, Maladies de l'appareil génital mâle, Maladies du pénis, Mâle, Résultat thérapeutique, Scrotum, Sujet âgé, Études de suivi.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Follow-Up Studies, Genital Diseases, Male (pathology), Genital Diseases, Male (surgery), Humans, Lymph Node Excision, Lymphedema (pathology), Lymphedema (surgery), Male, Middle Aged, Penile Diseases (pathology), Penile Diseases (surgery), Scrotum (pathology), Scrotum (surgery), Surgical Flaps, Treatment Outcome.
- MESH :
- pathology : Genital Diseases, Male, Lymphedema, Penile Diseases, Scrotum.
- surgery : Genital Diseases, Male, Lymphedema, Penile Diseases, Scrotum.
- Adolescent, Adult, Aged, Follow-Up Studies, Humans, Lymph Node Excision, Male, Middle Aged, Surgical Flaps, Treatment Outcome.
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:16924318Le document en format XML
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<series><title level="j">Clinics (Sao Paulo, Brazil)</title>
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<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>
<keywords scheme="MESH" 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>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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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">16924318</PMID>
<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>
<Article PubModel="Print"><Journal><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>
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<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>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Modolin</LastName>
<ForeName>Miguel</ForeName>
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<AffiliationInfo><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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<Author ValidYN="Y"><LastName>da Silva</LastName>
<ForeName>José Carlos Faes</ForeName>
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<MeshHeading><DescriptorName UI="D010409" MajorTopicYN="N">Penile Diseases</DescriptorName>
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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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<MeshHeading><DescriptorName UI="D013524" MajorTopicYN="N">Surgical Flaps</DescriptorName>
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