Rapid excision of massive localized lymphedema of the male genitalia with vessel sealing device

Jordan A. Siegel, Lee Zhao, Isamu Tachibana, Scott Carlson, Timothy J. Tausch, Alexandra K. Klein, Alex Vanni, Thomas A Rozanski, Allen F. Morey

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Introduction: To present a series of patients who underwent surgical treatment for massive localized lymphedema (MLL) of the male genitalia and explore the utility of the LigaSure hemostatic vessel sealing device (VSD) for resection of advanced cases. Materials and methods: Although conservative and microsurgical treatments have been reported, MLL of the male genitalia requires open surgical resection with primary reconstruction. We reviewed our prospectively maintained database of all lymphedema excisions performed between January 2007 and December 2014 comparing resection with Bovie electrocautery to resection with the LigaSure VSD. Our analysis focused on any significant differences in rate of resection, estimated blood loss (EBL), and recurrence. Results: Nineteen patients with MLL of the male genitalia underwent excision with either LigaSure (8 patients) or conventional Bovie electrocautery (11 patients). Rate of resection was significantly faster with LigaSure compared to Bovie (33.74 g/min versus 5.32 g/min, p = .035). Additionally, estimated EBL per gram of tissue resected was decreased in the LigaSure group (0.41 mL/g versus 0.17 mL/g, p = .057). Two of the 11 Bovie patients (18%) had recurrence of lymphedema requiring repeat resection, while none of the LigaSure patients developed recurrence. Conclusions: Resection of genital lymphedema using the LigaSure device offers promising results in managing advanced MLL of the male genitalia with the potential for faster resections, less EBL per tissue resected, and a lower rate of recurrence.

Original languageEnglish (US)
Pages (from-to)8291-8295
Number of pages5
JournalCanadian Journal of Urology
Volume23
Issue number3
StatePublished - 2016
Externally publishedYes

Keywords

  • Massive localized lymphedema
  • Obesity
  • Scrotal lymphedema
  • Vessel sealing device

ASJC Scopus subject areas

  • Urology

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    Siegel, J. A., Zhao, L., Tachibana, I., Carlson, S., Tausch, T. J., Klein, A. K., Vanni, A., Rozanski, T. A., & Morey, A. F. (2016). Rapid excision of massive localized lymphedema of the male genitalia with vessel sealing device. Canadian Journal of Urology, 23(3), 8291-8295.