title: Secondary scrotal lymphedema: a novel microsurgical approach.
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.
authors.affiliation: Department of Surgery, Scientific Institute San Raffaele, Vita-Salute San Raffaele University, Milan, Italy. mukenge.mvunde@hsr.it
authors.forename: Sylvain
authors.initials: S
authors.lastname: Mukenge
authors.forename: Carlo
authors.initials: C
authors.lastname: Pulitanò
authors.forename: Renzo
authors.initials: R
authors.lastname: Colombo
authors.forename: Daniela
authors.initials: D
authors.lastname: Negrini
authors.forename: Gianfranco
authors.initials: G
authors.lastname: Ferla
mesh_terms: D000368:Aged; D015653:Cystectomy / Q000009:adverse effects*; D006801:Humans; D008209:Lymphedema / Q000209:etiology / Q000601:surgery*; D008297:Male; D008866:Microsurgery / Q000379:methods*; D012611:Scrotum / Q000601:surgery*; D001749:Urinary Bladder Neoplasms / Q000601:surgery*