Manejo terapéutico del linfedema de pene subagudo y secundario a erisipela mediante colgajos cutáneos

Clinical review of a 38 years old patient referred to our hospital with penile lymphoedema secondary to a Streptococcus pyogenes (erysipela) infection 6 month ago. Physical exam revealed an uncircumcised penis with a soft consistency edema and no skin lesions. The patient was unable to maintain intercourse and had urine dripping caused by obliteration of the foreskin. Lymphogammagraphy revealed the absence of drug accumulation at genital area. MRI showed skin strengthening around the cavernous corpora and glans with fibrous tissue predominance. We performed a surgical resection of the fibrous tissue with lateral penis cutaneous flaps. There were no complications during the intervention and the post-operative period. The pathology report revealed the presence of lymphatic vessels with specific coloring DC-31 and D2-40. Six months after the intervention we observed an absence of edema with satisfactory cosmetic appearance, without urinary symptoms, and patient was able to maintain erections and perform intercourse.