Abstract：
OBJECTIVE:To present management challenges, surgical technique, and outcome associated with penoscrotal reconstruction in patients with giant scrotal lymphedema in sub-Saharan Africa. METHODS:A prospective study of all patients who had penoscrotal reconstruction for giant scrotal lymphedema at our university teaching hospital between January 2003 and December 2012 was carried out. Patients' preoperative clinical evaluation findings, operative technique, and postoperative course were reviewed after obtaining ethical approval and informed consent from the patients. RESULTS:Nineteen patients with giant scrotal lymphedema presented to us during the period of study; out of which, 11 had surgical excision and were studied. Their mean age and median duration of symptoms were 48.5 years and 11.5 years respectively. They all had surgical reconstruction using modified Charles procedure by the same combined team of urologists and plastic surgeons. Scrotal hematoma (27.3%) and superficial surgical site infection (18.2%) were complications encountered postoperatively. One patient (9.1%) had recurrence within 24 months, requiring repeat excision. CONCLUSION:Giant scrotal lymphedema poses severe physical challenge to the sufferer. Surgery remains the only hope to reduce penoscrotal size. Combined effort of urologic and plastic surgeons is essential for reconstruction.
journal_name
Urologyjournal_title
Urologyauthors
Salako AA,Olabanji JK,Oladele AO,Alabi GH,Adejare IE,David RAdoi
10.1016/j.urology.2016.09.064subject
Has Abstractpub_date
2018-02-01 00:00:00pages
181-185eissn
0090-4295issn
1527-9995pii
S0090-4295(16)30833-0journal_volume
112pub_type
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