Lymphedema of the external genitalia

The Journal of Urology
W Scott McDougal

Abstract

This article presents a simple classification of lymphedema of the external genitalia, which is useful for selecting the appropriate therapy, and evaluates our experience with the various therapeutic options used to treat this disorder. The literature was reviewed and the records of patients treated for the disorder were analyzed. A convenient classification of the disorder divides cases into congenital and acquired. Therapy is primarily dependent on whether the disease is self-limited and whether there has been any pathological change in the skin, lymphatics and subcutaneous tissue. For self-limited diseases in which no permanent pathological sequelae occur conservative therapy is appropriate. For most chronic conditions a surgical procedure is required. Excisional techniques are most effective for severe forms of the disease. In select cases subcutaneous tissue excision with preservation of the overlying skin is appropriate. However, for most patients excision of the skin and subcutaneous tissue with split-thickness grafting is most effective. When patients with lymphedema of the external genitalia require surgery and are properly selected for the appropriate procedure, the functional and cosmetic results are excellent and pa...Continue Reading

References

Mar 1, 1977·Urology·H A McKayG A LeBlanc
May 1, 1977·Urology·J P Evans, H M Snyder
Feb 1, 1975·The Journal of Urology·S K VaughtJ W McRoberts
May 1, 1985·American Journal of Surgery·M C DandapatS K Patro
Nov 1, 1970·Plastic and Reconstructive Surgery·N N Khanna
Aug 1, 1983·The Journal of Urology·T R MalloyP Gross
Apr 1, 1983·The Journal of Urology·W Scott McDougal
Aug 1, 1980·Journal of Pediatric Surgery·D TapperM Schwartz
Dec 1, 1980·Journal of Pediatric Surgery·N R Feins
Sep 25, 1997·Urology·A F MoreyJ W McAninch
Jun 1, 1997·Genitourinary Medicine·V Ramesh, V Ramesh
Sep 29, 1998·The Journal of Urology·J H RossKenneth W Angermeier
Dec 3, 1998·European Journal of Pediatrics·R J BoltT P de Jong
May 1, 1996·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·J Y LazennecM P Poloujadoff

Citations

Jul 28, 2011·Archives of Sexual Behavior·Rocco Salvatore CalabròPlacido Bramanti
Jun 1, 2012·Current Urology Reports·Ty T HiguchiKenneth W Angermeier
Feb 15, 2005·Urology·Brad J HornbergerClaus G Roehrborn
Mar 28, 2008·Southern Medical Journal·Evangelos ZacharakisEvangelos Ioannidis
Aug 22, 2006·Pediatric Dermatology·Natalia PastorIsabel Belinchón
Jun 5, 2007·Journal of Medical Case Reports·Stefan DenzingerWolfgang Otto
Oct 16, 2009·Journal of Medical Case Reports·Ganiyu A RahmanAmarachukwu C Etonyeaku
Jun 30, 2010·Journal of Medical Case Reports·Ali A Al-Shaham, Suneet Sood
Dec 6, 2014·Journal of Pediatric Surgery·Carolyn C SchookSteven J Fishman
Aug 26, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·J A MacholJ R Sanger
Aug 3, 2013·The Urologic Clinics of North America·Hema J Thakar, Daniel D Dugi
Oct 1, 2013·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Takumi YamamotoIsao Koshima
Aug 8, 2012·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Manish C ChampaneriaMichael Hill
May 15, 2012·Journal of Pediatric Urology·Anne G DudleyGlenn Cannon
Oct 23, 2009·The British Journal of Surgery·S O OgunbiyiLondon Lymphoedema Consortium
Jun 18, 2004·The Journal of Urology·Erin E KatzCharles B Brendler
Apr 8, 2006·The Journal of Urology·Jannah H ThompsonGeorge F Steinhardt
May 8, 2015·Journal of Cutaneous and Aesthetic Surgery·Hassan RavariAlireza Khooei
Jun 15, 2013·The Journal of Urology·Jairam R Eswara, W Scott McDougal
Jul 8, 2018·BMJ Case Reports·Derek B HennesseyJustin Chee
Apr 17, 2019·BMC Urology·Tian LinNing Xu
Apr 10, 2010·International Journal of Immunopathology and Pharmacology·C DianzaniA M Degener
Jun 16, 2017·PLoS Neglected Tropical Diseases·Helder MirandaDamiano Pizzol
Jul 17, 2018·Clinical and Experimental Dermatology·T N ShimC B Bunker
Jun 15, 2016·Annals of Plastic Surgery·Takumi YamamotoIsao Koshima
Jan 8, 2019·The Journal of Dermatology·Kozo NakaiYasuo Kubota
Jan 1, 2014·Basic and Clinical Andrology·Brahima KirakoyaClotaire Yaméogo

Related Concepts

Genital Diseases, Male
Genital Neoplasms, Male
Milroy Disease

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