title: [Urological pathology of lymphatic origin].
abstract: OBJECTIVE
  Lymphatic disease is a rarely cause of some very unspecific genitourinary manifestations, assuming a diagnostic challenge in most cases. The aim of this paper is to warn about the possible etiology of these urological lymphatic presentations and discuss its management.
  
  
  METHODS
  Retrospective review of clinical data in pediatric patients with urological pathology of lymphatic origin between 2008-2014. Three patients, two boys and a girl, were included. The complaints were: redundant prepuce, inguinal scrotal tumor and urinary incontinence. Clinical, diagnosis and treatment protocol is described.
  
  
  RESULTS
  The first case is a male with genital lymphedema presented at birth as a redundant prepuce and the subsequent emergence of lower limb lymphedema, treated with compression bandages. The second case, a groin lymphangioma which debuted as a sudden painless inguinal tumor simulating a cord cyst, it was sclerosed and treated with OK- 432. Finally, a preteen who consulted for involuntary leakage of urine, genital lymphedema likely primary cause (lymphodisplasia) or malformation was diagnosed, which improved with two Lipiodol® embolization.
  
  
  CONCLUSIONS
  Genitourinary manifestations can be the debut of more complex lymphatic pathology, so it is necessary to consider this cause, uncommon and nonspecific. Its management must be conservative initially by compression bandages, OK-432 or embolization with Lipiodol®.
authors.affiliation: Servicio de Cirugía Pediátrica. Hospital Universitari i Politècnic La Fe. Valencia.
authors.forename: A
authors.initials: A
authors.lastname: Domènech
authors.affiliation: Servicio de Urología Infantil. Hospital Universitari i Politècnic La Fe. Valencia.
authors.forename: A
authors.initials: A
authors.lastname: Serrano
authors.affiliation: Servicio de Medicina Física y Rehabilitación. Hospital Universitari i Politècnic La Fe. Valencia.
authors.forename: I
authors.initials: I
authors.lastname: Forner-Cordero
authors.affiliation: Servicio de Radiología Intervencionista. Hospital Universitari i Politècnic La Fe. Valencia.
authors.forename: F
authors.initials: F
authors.lastname: Gómez
authors.affiliation: Servicio de Medicina Física y Rehabilitación. Hospital Universitari i Politècnic La Fe. Valencia.
authors.forename: D
authors.initials: D
authors.lastname: Maldonado
authors.affiliation: Servicio de Urología Infantil. Hospital Universitari i Politècnic La Fe. Valencia.
authors.forename: C
authors.initials: C
authors.lastname: Domínguez
mesh_terms: D000970:Antineoplastic Agents / Q000627:therapeutic use; D016461:Chemoembolization, Therapeutic / Q000379:methods; D002648:Child; D058128:Compression Bandages; D004998:Ethiodized Oil / Q000627:therapeutic use; D005260:Female; D006119:Groin; D006801:Humans; D007231:Infant, Newborn; D035002:Lower Extremity; D008202:Lymphangioma / Q000628:therapy*; D008209:Lymphedema / Q000150:complications* / Q000628:therapy; D008297:Male; D010413:Penis / Q000002:abnormalities*; D010844:Picibanil / Q000627:therapeutic use; D012189:Retrospective Studies; D014549:Urinary Incontinence / Q000209:etiology / Q000628:therapy*
chemical_list: D000970:Antineoplastic Agents; D010844:Picibanil; D004998:Ethiodized Oil
keywords: Children; Lymphangioma; Lymphedema; Lymphodysplasia