Treatment of male genital lymphedema with non-elastic fabric.

Autor:	Godoy JMP; Department of Cardiovascular Surgery, São José do Rio Preto School of Medicine (FAMERP/FUNFARME), São José do Rio Preto, SP, Brazil.; Godoy Clinic, São José do Rio Preto, SP, Brazil., Godoy MFG; Godoy Clinic, São José do Rio Preto, SP, Brazil., Facio MFW; Physician, Ceres School of Medicine (FACERES), São José do Rio Preto, SP, Brazil., Arruda GJF; Urologist, São José do Rio Preto School of Medicine (FAMERP/FUNFARME), São José do Rio Preto, SP, Brazil., Spessoto ACN; Medical Student, Catanduva School of Medicine (UNIFIPA), Catanduva, SP, Brazil., Spessoto LCF; Department of Urology, São José do Rio Preto School of Medicine (FAMERP/FUNFARME), São José do Rio Preto, SP, Brazil., Facio FN Jr; Department of Urology, São José do Rio Preto School of Medicine (FAMERP/FUNFARME), São José do Rio Preto, SP, Brazil.
Jazyk:	angličtina
Zdroj:	AME case reports [AME Case Rep] 2020 Oct 30; Vol. 4, pp. 29. Date of Electronic Publication: 2020 Oct 30 (Print Publication: 2020).
DOI:	10.21037/acr-20-71
Abstrakt:	Lymphedema is a specific type of edema stemming from a failure in the formation or drainage of lymph. This condition can be congenital or acquired. The clinical treatment of genital lymphedema involves compression mechanisms of the penis. In acquired cases, the individual is born with the lymphatic system intact, but this system is damaged at some point in life, which can lead to lymphatic insufficiency and the development of edema. The non-elastic material for the penis is grosgrain that enable the adjustment to the proper pressure. This report describes a case series of penile lymphedema treated with compression mechanism. Thirteen consecutive patients with penoscrotal lymphedema aged 22 to 56 years (mean: 42.3 years) were treated. Inclusion criteria were patients with primary and secondary penoscrotal lymphedema. Volume larger than three times the normal size of the scrotum was excluded. Reductions in edema occurred in the penis in all patients. Such reductions varied in accordance with the adherence of the patients to the use and duration of compression. The patients used the compression device at times that best fit their schedules. An interesting aspect was the fact that the patients reported the possibility of leaving the penis the size they wished-neither very small nor very large-for sexual activity. All were able to control the size of the edema within the standards they considered acceptable. Competing Interests: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/acr-20-71). FNF Jr serves as an unpaid Urology Section Head of ACR Case Report and LCFS serves as unpaid Urology Editor from June/2018. The authors have no other conflicts of interest to declare. (2020 AME Case Reports. All rights reserved.)
Databáze:	MEDLINE
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