背景:外生殖器淋巴水肿是一种罕见的疾病,其特征是阴囊皮肤和皮下组织肿胀,由于淋巴引流的病理学。随着时间的推移,纤维化的发展导致患者生活质量的严重损害。虽然保守管理通常是第一线的方法,手术病例可能需要手术干预,以实现全面和持久的改善。
方法:我们介绍了一例43岁的肥胖男性患者,他主诉持续的双侧阴囊肿胀达三个月。临床检查显示压力惰性,软,两侧阴囊大量肿胀。超声检查结果证实了弥漫性水肿性阴囊壁增厚。建议患者开始物理治疗并坚持保守治疗。由于质量的衰弱大小,患者选择切除阴囊肿胀,然后进行阴囊成形术。
■本案例报告探讨了演示文稿,症状和体征,对患者生活的影响,和阴囊淋巴水肿的各种管理选择。它强调了诊断和治疗决策过程中涉及的复杂性,强调需要一种量身定制的多学科方法。
结论:首先必须排除危及生命的阴囊淋巴水肿的原因,以确保最佳的患者护理。在整体管理策略中应仔细考虑手术干预措施的整合,以获得最佳和全面的结果。阴囊成形术,在阴囊淋巴水肿的背景下,不仅提高了生活质量,而且对性功能也有积极影响。
■人际交往和沟通技巧,医学知识,病人护理,基于实践的学习和改进。
BACKGROUND: Lymphedema of the external genitalia is a rare condition characterized by swelling of the scrotal skin and subcutaneous tissue, resulting from a pathology in lymphatic drainage. Over time, the development of fibrosis leads to a considerable impairment in the patient\'s quality of life. While conservative management is generally the first-line approach, surgical cases may necessitate surgical intervention to achieve comprehensive and lasting improvements.
METHODS: We present the
case of a 43-year-old obese male patient who presented to the clinic with a complaint of persistent bilateral scrotal swelling for three months. Clinical examination revealed a pressure-indolent, soft, and massively enlarged swelling of the scrotum on both sides. Ultrasound findings confirmed a diffusely thickened edematous scrotal wall. The patient was advised to start physiotherapy and adhere to conservative management. Due to the debilitating size of the mass, the patient opted for excision of the scrotal swelling followed by scrotoplasty.
UNASSIGNED: This
case report explores the presentation, signs and symptoms, impact on patients\' lives, and various management options for scrotal lymphedema. It underscores the intricacies involved in the diagnosis and treatment decision-making process, emphasizing the need for a tailored and multidisciplinary approach.
CONCLUSIONS: It is imperative to initially rule out life-threatening causes of scrotal lymphedema to ensure optimal patient care. The integration of surgical interventions should be carefully considered in the overall management strategy for optimal and comprehensive results. Scrotoplasty, in the context of scrotal lymphedema, not only improves the quality of life but also positively influences sexual function.
UNASSIGNED: Interpersonal and communication skills, Medical knowledge, Patient care, Practice-based learning and improvement.