Penile lymphoedema: approach to investigation and management

Clinical and Experimental Dermatology
T N ShimC Bunker

Abstract

Penile lymphoedema (with and without cellulitis) is a rare, often chronic, clinically heterogeneous entity with an uncertain pathogenesis and an important differential diagnosis. It creates significant physical and psychosexual morbidity, and presents considerable therapeutic challenges. The existing literature is limited. To describe and share our updated cumulative experience of a cohort of patients with penile lymphoedema. This was a retrospective review of the case records of patients with chronic penile lymphoedema seen in two dedicated male genital dermatology clinics between January 2011 and July 2016. In total, 41 cases were identified. Over a third had Crohn disease (CD) (which was occult in one-third of these), and over a third had serological evidence of streptococcal infection. All patients responded to systemic antibiotics and specialized urological surgery circumcision and excision). Penile lymphoedema should be investigated to exclude underlying pathology especially CD and streptococcal infection. Treatment with antibiotics should be considered early and long term to try to preserve the foreskin: most patients are uncircumcised. Some patients may benefit from a course or courses of oral steroids. The development ...Continue Reading

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Citations

Jun 25, 2020·Clinical and Experimental Dermatology·V PremjeyanthK E Shipman
Mar 11, 2020·International Journal of Impotence Research·Sverrir KristinssonDavid Ralph
Oct 12, 2019·British Journal of Community Nursing·Rhian Noble-JonesKaren Morgan

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