Cases reported "Penile Diseases"

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11/26. Genital edema in children on continuous ambulatory peritoneal dialysis.

    Genital edema is a recognized complication of continuous ambulatory peritoneal dialysis (CAPD) in adults. Two children who developed genital edema while on CAPD are reported. The edema developed in both children as a consequence of a peritoneal leak in the inguinal region. A computerized tomogram (CT) scan of the abdomen is an excellent method to identify the site of the peritoneal leak. The literature is reviewed and the pathophysiology of the development of genital swelling and edema is discussed.
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ranking = 1
keywords = edema
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12/26. Surgical treatment of male genital lymphedema.

    The etiologic classification and history of the surgical treatment of male genital lymphedema are presented. Two case reports and their results illustrate the surgical technique of skin flaps and split thickness skin grafting.
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ranking = 0.625
keywords = edema
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13/26. gangrene of the penis as a complication of penile prosthesis.

    gangrene of the penis is rare but several factors acting simultaneously may produce this condition. These factors include local infection, pressure dressing, presence of a urethral catheter, edema and ischemia of the corpus cavernosum. We report a case of iatrogenic gangrene of the penis following implantation of a Scott inflatable penile prosthesis, and all of the aforementioned factors were present.
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ranking = 0.125
keywords = edema
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14/26. Surgery of male genital lymphedema.

    Incapacitating male genital lymphedema most commonly results from filariasis, which is endemic in the tropical and subtropical countries. However, with the advent of extensive ablative surgical and radiotherapeutic measures against abdominopelvic malignancies, more cases of iatrogenic lymphedema of the genitalia can be expected in other parts of the world as well. Surgical treatment of male genital lymphedema is essentially divided into 1) excision of subcutaneous lymphedematous tissues with genital reconstruction using the remaining skin and 2) complete excision of lymphedema followed by split thickness skin grafting of the denuded phallus. The rationale behind our preference for the latter procedure is discussed with illustrative case profiles and important salient surgical steps are outlined.
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ranking = 1.125
keywords = edema
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15/26. Penile edema in childhood gonorrhea.

    A two-year-old boy with painless penile edema was seen in our emergency department. No discharge was present initially, but palpation of the urethra expressed a drop of material from the meatus. neisseria gonorrhoeae was isolated, and the edema resolved rapidly following penicillin treatment. This report provides, to out knowledge, the first description of penile venereal edema in a child and discusses the diagnostic considerations in penile swelling.
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ranking = 0.875
keywords = edema
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16/26. Lymphovenous shunt in lymphoedema in the penis, scrotum and left lower limb.

    The case of a 23-year-old male patient with marked secondary lymphoedema of the penis, scrotum and left leg is reported. Lymphovenous shunt was performed with excellent results.
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ranking = 0.625
keywords = edema
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17/26. Congenital lymphedema of the penis: a method of reconstruction.

    Congenital lymphedema of the genitalia has profound physical and psychological consequences for the growing child. Extensive resection of this tissue and reconstruction by skin grafting offers a less than satisfactory cosmetic result. Over the past year we have employed a method of total excision of the lymphedematous tissue of the penile shaft with cosmetic reconstruction without skin grafting. A circumferential incision was made 5-10 mm from the coronal sulcus and deepened to the level of Buck's fascia. The skin and subcutaneous tissue were then completely dissected away from the penis. The skin was everted and all of the abnormal lymphedematous tissue excised up to the dermal skin margin. The skin was then tailored to the size of the penile shaft and reapproximated. This method has been employed in two patients with the advantages of (1) shorter hospitalization, (2) lack of morbidity associated with the skin donor site, and (3) satisfactory cosmetic results.
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ranking = 0.875
keywords = edema
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18/26. Penile oedema induced by continuous condom catheter use and mimicking keloid scar.

    Continuous use of condom catheter for urinary incontinence in a patient with neurogenic bladder gave rise to localized chronic oedema on the dorsum of the penis, mimicking keloid scar, and urethral fistula on the ventral surface. These unusual combined complications on the penile surfaces were due to pressure effect.
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ranking = 0.625
keywords = edema
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19/26. adult acute idiopathic scrotal edema.

    We report here a rare case of adult acute idiopathic scrotal edema (AISE). Its characteristics and management are the same for adults as for prepubertal boys. AISE typically affects prepubertal boys, with an acute onset of a relatively painless scrotal erythema and subcutaneous edema, which resolves spontaneously, without sequela, in 1 to 3 days. The erythema and swelling can also extend to the perineum, abdomen, or penis. Its diagnosis is primarily made by exclusion. Vital signs, urinalysis, urine and tissue culture, and white blood cell count are normal. Palpably normal scrotal contents on physical examination and thickened scrotal wall and normal testis arterial flow on scrotal ultrasound with color flow Doppler further confirm the diagnosis. Differentiating AISE from a scrotal surgical emergency is essential in order to avoid unnecessary exploration.
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ranking = 0.75
keywords = edema
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20/26. Acute idiopathic scrotal oedema in association with diabetic septic foot.

    Acute idiopathic scrotal oedema was observed in three adult diabetic patients with septic foot following life saving above knee guillotine amputation. This is a previously unreported association as far as we know and no clue to the pathogenesis could be obtained.
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ranking = 0.625
keywords = edema
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