Secondary scrotal lymphedema: A novel microsurgical approach

✍ Scribed by Sylvain Mukenge; Carlo Pulitanò; Renzo Colombo; Daniela Negrini; Gianfranco Ferla

• Book ID: 102508868
• Publisher: John Wiley and Sons
• Year: 2007
• Tongue: English
• Weight: 113 KB
• Volume: 27
• Category: Article
• ISSN: 0738-1085
• DOI: 10.1002/micr.20426

✦ Synopsis

Abstract

Secondary scrotal lymphedema is an infrequent complication of radical cystectomy assiociated with pelvic lymphadenectomy. We report a case of secondary lymphedema of male genitalia presenting more than 4 years after a radical cystectomy with extended pelvic lymphadenectomy for adenocarcinoma of the bladder. Microsurgical lymphovenous anastomoses are usually performed using only the scrotal lymphatics excluding the testicular lymphatics drainage. We have experimented a new microsurgical technique based on lymphovenous anastomosis between the collectors of the spermatic funiculus and the veins of the pampiniform plexus, allowing the testicular lymphatic drainage. © 2007 Wiley‐Liss, Inc. Microsurgery, 2007.