ArticleTranslational andrology and urology2019
A novel 'Batman' scrotectomy technique for the management of scrotal lymphoedema following treatment for penile cancer.
Article in Translational andrology and urology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.
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Who cites it
7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.
- Complications and outcomes following injection of foreign material into the male external genitalia for augmentation: a single-centre experience and systematic review.International journal of impotence research · 2024Pooled it
- Reconstructive surgery of the scrotum: a systematic review.International journal of impotence research · 2022Pooled it
- Penile cancer treatment and sexuality: a narrative review.International journal of impotence research · 2025Review
- Reconstruction of the male external genitalia in diverse disease processes: Our reconstructive algorithm, techniques, and experience.Current urology · 2022Article
- Multidisciplinary approach and management of patients who seek medical advice for penile size concerns: a narrative review.International journal of impotence research · 2022Review
- Penoscrotal lymphedema revealing a lymphoma: A case report.Urology case reports · 2020Article
- 'Hanger‑shaped' scrotectomy: A novel technique for the management of penoscrotal lymphedema: A case report.Medicine internationalArticle
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo describe a novel 'Batman' scrotectomy technique and present our single centre experience in the management of secondary scrotal lymphoedema in penile cancer patients.
methodsA retrospective review of the medical records of penile cancer patients with extensive and bothersome penoscrotal lymphoedema failing conservative therapy between 2013 and 2018. We analysed patients' demographics, pre-operative disease stage, post-operative outcomes and complications.
resultsSeven patients with a history of penile cancer and problematic scrotal lymphoedema were managed using a novel 'Batman' scrotectomy technique. The mean age was 56.4 (range, 28-71) years. The mean inpatient stay was 4.1 (range, 2-7) days. Two patients (28.6%) were found to have incidental metastatic squamous cell carcinoma (SCC) in the scrotal skin on histological analysis. One patient developed superficial wound dehiscence (Clavien-Dindo grade II) and two patients had mild post-operative residual penile lymphoedema. Following a mean follow-up period of 19 months, 2 patients died due to metastatic penile cancer. One patient developed skin metastases in his thigh and perineum. All of the patients reported a good cosmetic and functional outcome on post-operative review.
conclusionsGenital lymphoedema is an uncommon side-effect of penile cancer treatment. In severe cases where patients fail conservative treatments, surgical intervention using this technique is effective and feasible.
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