Case report: surgical management of massive scrotal lymphedema in a bariatric patient.

Publication

Case report: surgical management of massive scrotal lymphedema in a bariatric patient.

Journal Paper/Review - Apr 23, 2022

Welling Harald, Tsigka Eirini, Krogh John, Schmidt Volker, Munksdorf Michael

Citation

Welling H, Tsigka E, Krogh J, Schmidt V, Munksdorf M. Case report: surgical management of massive scrotal lymphedema in a bariatric patient. J Surg Case Rep 2022; 2022:rjac100.

Type

Journal Paper/Review (English)

Journal

J Surg Case Rep 2022; 2022

Publication Date

Apr 23, 2022

Issn Print

2042-8812

Pages

rjac100

Brief description/objective

A morbidly obese male patient was referred to our department for joint-venture excision surgery of a massive genital lymphedema that had increased 10-fold in volume over a 3-year period. The patient underwent two-stage excision and reconstruction surgery including orchiectomy and was discharged with no major complications and reported improved outcome and urogenital function after surgery at 6-month follow-up. Genital lymphedema is a rare and surgically challenging disease that is related to obesity and causes functional and psychosocial impairment. The planning, performance and postoperative care of surgery on bariatric patients requires tailored surgical treatment and the involvement of several different medical professions and specialties. Surgical debulking can bring about satisfactory outcomes and profound improvements in quality of life.