title: New compression mechanism in penile-scrotal lymphedema and sexual rehabilitation.
abstract: The objective of this study is to describe a new compression mechanism in the treatment of lymphedema of the penis and scrotum and the ensuing sexual rehabilitation. The patient, a 58-year-old man, had edema of the penile and scrotal region as a result of surgery of the pancreas and spleen and chemotherapy. The patient complained of pain, discomfort, and difficulties to walk and urinate. A clinical diagnosis of lymphedema of the penis and scrotum was reached. Treatment involved the continuous use of a cotton-polyester compression garment for the region together with thorough hygiene skin care. The swelling reduced significantly within a week to almost a normal aspect which was accompanied by clinical improvements of the symptoms. The reduction in penile edema allowed sexual rehabilitation even though erectile dysfunction required the use of a specific medication (sildenafil). In conclusion, simple and low-cost options can improve lymphedema of the penis and scrotum and allow sexual rehabilitation.
authors.affiliation: Department of Cardiology and Cardiovascular Surgery, School of São José do Rio Preto-FAMERP, Brazil.
authors.forename: Jose Maria Pereira
authors.initials: JM
authors.lastname: de Godoy
authors.affiliation: Department of Urology in Medicine, School of São José do Rio Preto-FAMERP, Brazil.
authors.forename: Fernando Nestor
authors.initials: FN
authors.lastname: Facio
authors.affiliation: Physiotherapist, Lato-Sensu Post Graduation Course on Lymphovenous Rehabilitation (FAMERP); Clinica Godoy, Brazil.
authors.forename: Eleni Cássia Matias
authors.initials: EC
authors.lastname: de Carvalho
authors.affiliation: Occupational Therapist, Professor of the Stricto-Sensu Post Graduation in Medicine School of São Jose do Rio Preto-FAMERP, researcher of Clínica Godoy, São Jose do Rio Preto-Brazil.
authors.forename: Maria de Fatima Guerreiro
authors.initials: Mde F
authors.lastname: Godoy
keywords: Adaptation; compression; genitals; lymphedema