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Novel treatment (new drug/intervention; established drug/procedure in new situation)
CASE REPORT
Surgical management of chronic genital lymphoedema
  1. Derek B Hennessey1,
  2. Ned Kinnear1,
  3. Justin Chee1,2
  1. 1Department of Urology, Austin Health, Melbourne, Victoria, Australia
  2. 2Department of Urology, The Alfred Hospital, Melbourne, Australia
  1. Correspondence to Derek B Hennessey, derek.hennessey{at}gmail.com

Summary

A 44-year-old man with a spinal cord injury was referred to a specialist urology service with a 7-year history of significant genital swelling. His condition had eluded diagnosis and was refractory to all previous treatments. The considerable swelling both impacted his quality of life and prevented the patient from adequately managing his neurogenic bladder. He was diagnosed with chronic idiopathic genital lymphoedema and underwent total scrotectomy, wide penile skin excision and split skin graft to the penile shaft. The patient made an excellent recovery. We present this unusual case with preoperative, intraoperative and postoperative images.

  • urology
  • urinary tract infections

https://doi.org/10.1136/bcr-2018-225183

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    Footnotes

    • Contributors DBH and JC conceived the idea of the case report. DBH and JC collected the intraoperative clinical images. DBH wrote the manuscript with support from NK. NK and JC refined the final script. JC supervised the project. All authors discussed the paper and agreed to be accountable for all aspects of the work.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.