New compression mechanism in penile-scrotal lymphedema and sexual rehabilitation
The patient, a 58-year-old man, reported edema of the penile and scrotal region after surgery of the pancreas and spleen to remove a tumor 1 year and five months previously. The patient told that he was hospitalized for 46 days and was submitted to 16 sessions of chemotherapy. After discharge, he took bactrin for 30 days until returning for a follow-up consultation. He reported that the edema started in the pubic area, penis and scrotum, one year after surgery and that it did not reduce and caused pain and discomfort. The patient was initially attended in the Urology Department of Hospital de Base where he was referred to the Godoy Clinic in Sĕo José do Rio Preto for a vascular evaluation and treatment.\nDuring the physical evaluation, the patient complained of pain, discomfort, and difficulty to walk during his work. He also reported that he had discomfort to urinate which deeply disturbed him. A clinical diagnosis of lymphedema of the penis and scrotum was reached.\nTreatment involved the continuous use of a cotton-polyester compression garment, Figure and , for the penis and scrotum region, together with thorough hygiene skin care. The swelling was reduced significantly and within one week, an almost normal size was achieved. However, the patient was counseled to continue to use the compression garment. The patient reported that the discomfort had improved, he was able to urinate normally, he could walk normally at work, and that hygienic skin care was easier.\nHe had not been sexually active since the onset of edema and after the swelling had been reduced, he suffered erectile dysfunction. This was treated with the administration of 50 mg Sildenafil.