Bilateral Scrotal Flaps: A Novel Ideain the Management of Massive Scrotal Lymphoedema

Nangole Wanjala Ferdinand; Biribwa Kansiime Peter

doi:doi:10.11648/j.js.20180604.13

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Bilateral Scrotal Flaps: A Novel Ideain the Management of Massive Scrotal Lymphoedema

Nangole Wanjala Ferdinand, Biribwa Kansiime Peter

Published in Journal of Surgery (Volume 6, Issue 4)

Received: 7 May 2018 Accepted: 29 May 2018 Published: 16 July 2018

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Abstract

Massive Scrotal lymphoedema is a debilitating condition that could result in both psychological and physical trauma to the patient. Irrespective of the cause of this condition, surgery remains the cornerstone in its management. A variety of surgical procedures have been described with varied degree of success. A total of eight patients with massive scrotal lymphoedema of ages between 15 and 60 years were managed by the authors. The mean excision of the scrotal tissue was 5.7 kilogrammes. All patients had post excision defect reconstructed with bilateral scrotal flaps. No skin grafts were utilized in any patient. They all healed well without any complications and were able to resume to their normal functions within nine weeks. No recurrence was noted at two years of follow up. Bilateral scrotal flap is an effective method of managing massive scrotally mphoedema. It allows for massive removal of scrotal tissue and primary repair of the defect using scrotal tissue that allows for early return to work and sexual activities. The complications are minimal and there is high patient satisfaction.

Published in	Journal of Surgery (Volume 6, Issue 4)
DOI	10.11648/j.js.20180604.13
Page(s)	92-96
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Scrotal Lymphoedema, Reconstruction, Flaps

References

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[2]	Al-Shaham AA, Sood S. Recurrent furunculos is as a cause of isolated penile lymphedema: a case report. J Med Case Reports. 2010;4(1):196. http://dx.doi.org/10.1186/1752-1947-4-196. PMid: [PMC free article][PubMed].
[3]	ThejeswiP, Prabhu S, Augustine AJ et al Giant scrotal lymphoedema: a case report. Int J Surg Case Rep. 2012;3(7):269-71. http://dx.doi.org/10.1016/j.ijscr.2012.03.005. PMid: [PMC free article][PubMed8].
[4]	Reitsma W, Wiegman MJ, Damstra RJ. Penile and scrotal lymphedema as an unusual presentation of Crohn’s disease: case report and review of the literature. Lymphology. 2012;5(1):37-41. PMid: [PubMed] 2. Godoy JMP, Facio FN Jr.
[5]	Carvalho ECM et al. New compression mechanism in penile-scrotal lymphedema and sexual rehabilitation.Urol Ann. 2014;6(1):88-90. http://dx.doi.org/10.4103/0974-7796.127025. PMid: [PMC free article][PubMed].
[6]	Miquel Modolin, Anuar Ibrahim; Surgical treatment of lymphoedema of the penisand scrotum. linics; 2006;AugVol 61.o4 Sao Paulo
[7]	Halperin TJ1, Slavin SA, Olumi AF, Borud LJ. Surgical management of scrotal lymphedema using local flapsJ PlastReconstrAesthetSurg.2013 Feb; 66(2):281-6. doi: 10.1016/j.bjps.2012.06.024. Epub 2012 Aug 4.
[8]	Champaneria MC1, Workman A et al.Reconstruction of massive localized lymphoedema of the scrotum with a novel fasciocutaneous flap: A rare case presentation and a review of the literatureJ Plast ReconstrAesthet Surg. 2014 Dec; 67(12):1719-25. doi: 10.1016/j.bjps.2014.07.031. Epub 2014 Aug 5.
[9]	Pastor C, Granick MS. Scrotal lymphedema. Eplasty. 2011;11:ic15. PMid: [PMC free article][PubMed].
[10]	Parmar HD. The surgical approach in huge scrotal lymphedema.Int J Med Sci Public Health. 2013;2(1):153-5. http://dx.doi.org/10.5455/ijmsph.2013.2.153-155
[11]	Machol JA 4th, Langenstroer P, Sanger JR. Surgical reduction of scrotal massive localized lymphedema (MLL) in obesity. J Plast Reconstr Aesthet Surg. 2014; 67(12):1719-25.
[12]	Franklin Vivesa, Herney Andrés García-Perdomo, b, c, Ginna Marcela Ocampo-Flórez Giant lymphedema of the penis and scrotum: a case report. Autops Case Rep. 2016 Jan-Mar; 6(1): 57–61.
[13]	Parmar HD. The surgical approach in huge scrotal lymphedema. Int J Med SciPublic Health. 2013;2(1):153-5.
[14]	Sapountzis S, Ciudad P, Lim SY, et al. Modified Charles procedure and lymph node flap transfer for advanced lower extremity lymphedema. Microsurgery. 2014;34(6):439-47. http://dx.doi.org/10.1002/micr.22235. PMid: [PubMed].

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Nangole Wanjala Ferdinand, Biribwa Kansiime Peter. (2018). Bilateral Scrotal Flaps: A Novel Ideain the Management of Massive Scrotal Lymphoedema. Journal of Surgery, 6(4), 92-96. https://doi.org/10.11648/j.js.20180604.13

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ACS Style

Nangole Wanjala Ferdinand; Biribwa Kansiime Peter. Bilateral Scrotal Flaps: A Novel Ideain the Management of Massive Scrotal Lymphoedema. J. Surg. 2018, 6(4), 92-96. doi: 10.11648/j.js.20180604.13

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AMA Style

Nangole Wanjala Ferdinand, Biribwa Kansiime Peter. Bilateral Scrotal Flaps: A Novel Ideain the Management of Massive Scrotal Lymphoedema. J Surg. 2018;6(4):92-96. doi: 10.11648/j.js.20180604.13

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@article{10.11648/j.js.20180604.13,
  author = {Nangole Wanjala Ferdinand and Biribwa Kansiime Peter},
  title = {Bilateral Scrotal Flaps: A Novel Ideain the Management of Massive Scrotal Lymphoedema},
  journal = {Journal of Surgery},
  volume = {6},
  number = {4},
  pages = {92-96},
  doi = {10.11648/j.js.20180604.13},
  url = {https://doi.org/10.11648/j.js.20180604.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20180604.13},
  abstract = {Massive Scrotal lymphoedema is a debilitating condition that could result in both psychological and physical trauma to the patient. Irrespective of the cause of this condition, surgery remains the cornerstone in its management. A variety of surgical procedures have been described with varied degree of success. A total of eight patients with massive scrotal lymphoedema of ages between 15 and 60 years were managed by the authors. The mean excision of the scrotal tissue was 5.7 kilogrammes. All patients had post excision defect reconstructed with bilateral scrotal flaps. No skin grafts were utilized in any patient. They all healed well without any complications and were able to resume to their normal functions within nine weeks. No recurrence was noted at two years of follow up. Bilateral scrotal flap is an effective method of managing massive scrotally mphoedema. It allows for massive removal of scrotal tissue and primary repair of the defect using scrotal tissue that allows for early return to work and sexual activities. The complications are minimal and there is high patient satisfaction.},
 year = {2018}
}

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TY - JOUR
T1 - Bilateral Scrotal Flaps: A Novel Ideain the Management of Massive Scrotal Lymphoedema
AU - Nangole Wanjala Ferdinand
AU - Biribwa Kansiime Peter
Y1 - 2018/07/16
PY - 2018
N1 - https://doi.org/10.11648/j.js.20180604.13
DO - 10.11648/j.js.20180604.13
T2 - Journal of Surgery
JF - Journal of Surgery
JO - Journal of Surgery
SP - 92
EP - 96
PB - Science Publishing Group
SN - 2330-0930
UR - https://doi.org/10.11648/j.js.20180604.13
AB - Massive Scrotal lymphoedema is a debilitating condition that could result in both psychological and physical trauma to the patient. Irrespective of the cause of this condition, surgery remains the cornerstone in its management. A variety of surgical procedures have been described with varied degree of success. A total of eight patients with massive scrotal lymphoedema of ages between 15 and 60 years were managed by the authors. The mean excision of the scrotal tissue was 5.7 kilogrammes. All patients had post excision defect reconstructed with bilateral scrotal flaps. No skin grafts were utilized in any patient. They all healed well without any complications and were able to resume to their normal functions within nine weeks. No recurrence was noted at two years of follow up. Bilateral scrotal flap is an effective method of managing massive scrotally mphoedema. It allows for massive removal of scrotal tissue and primary repair of the defect using scrotal tissue that allows for early return to work and sexual activities. The complications are minimal and there is high patient satisfaction.
VL - 6
IS - 4
ER -

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Author Information

Nangole Wanjala Ferdinand

Department of Surgery, University of Nairobi, Nairobi, Kenya
Biribwa Kansiime Peter

Department of Surgery, University of Nairobi, Nairobi, Kenya

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APA Style

Nangole Wanjala Ferdinand, Biribwa Kansiime Peter. (2018). Bilateral Scrotal Flaps: A Novel Ideain the Management of Massive Scrotal Lymphoedema. Journal of Surgery, 6(4), 92-96. https://doi.org/10.11648/j.js.20180604.13

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ACS Style

Nangole Wanjala Ferdinand; Biribwa Kansiime Peter. Bilateral Scrotal Flaps: A Novel Ideain the Management of Massive Scrotal Lymphoedema. J. Surg. 2018, 6(4), 92-96. doi: 10.11648/j.js.20180604.13

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AMA Style

Nangole Wanjala Ferdinand, Biribwa Kansiime Peter. Bilateral Scrotal Flaps: A Novel Ideain the Management of Massive Scrotal Lymphoedema. J Surg. 2018;6(4):92-96. doi: 10.11648/j.js.20180604.13

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@article{10.11648/j.js.20180604.13,
  author = {Nangole Wanjala Ferdinand and Biribwa Kansiime Peter},
  title = {Bilateral Scrotal Flaps: A Novel Ideain the Management of Massive Scrotal Lymphoedema},
  journal = {Journal of Surgery},
  volume = {6},
  number = {4},
  pages = {92-96},
  doi = {10.11648/j.js.20180604.13},
  url = {https://doi.org/10.11648/j.js.20180604.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20180604.13},
  abstract = {Massive Scrotal lymphoedema is a debilitating condition that could result in both psychological and physical trauma to the patient. Irrespective of the cause of this condition, surgery remains the cornerstone in its management. A variety of surgical procedures have been described with varied degree of success. A total of eight patients with massive scrotal lymphoedema of ages between 15 and 60 years were managed by the authors. The mean excision of the scrotal tissue was 5.7 kilogrammes. All patients had post excision defect reconstructed with bilateral scrotal flaps. No skin grafts were utilized in any patient. They all healed well without any complications and were able to resume to their normal functions within nine weeks. No recurrence was noted at two years of follow up. Bilateral scrotal flap is an effective method of managing massive scrotally mphoedema. It allows for massive removal of scrotal tissue and primary repair of the defect using scrotal tissue that allows for early return to work and sexual activities. The complications are minimal and there is high patient satisfaction.},
 year = {2018}
}

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