Abstract

FERNANDEZ GARCIA, A.; FERNANDEZ PASCUAL, C.  and  SANTOYO GIL-LOPEZ, F.. Reconstruction in penile and scrotal lymphedema secondary to billateral giant inguinal hernia. Cir. plást. iberolatinoam. [online]. 2009, vol.35, n.4, pp.311-316. ISSN 1989-2055.

Lymphedema of the penis and scrotum has important functional, cosmetic, social, psychological consequences for the affected patient. It is a rare disease in the developed countries, although it is relatively frequent in tropical countries. Globally, the most common cause is filariasis, although in our practice it is most frecuently associated to surgery, radiotherapy, inflammatory and neoplasic diseases. We report one rare case of penoscrotal lymphedema due to billateral giant inguinal hernia reconstrction. The lymphedema was persistent one year after the repair of the billateral hernia. The technique of reconstruction consisted of excision of all involved lymphedematous skin of the scrotum, and use of posterior scrotal flaps for testicular coverage. In a second surgical time, a total excision of the penile skin and subcutaneous tissue superficial to the Buck's fascia was performed. Split thickness skin grafts were sed to cover the denuded penis. The patient had an acceptable cosmetic postoperative outcome. The functional and psychological results were satisfactory 3 years after surgery.

Keywords : Lymphedema; Penis; Scrotum.

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