Frequency and nature of symptoms of dysfunction of the lower urinary tract in persons over 40 years old
Postcoital cystitis as a cause of sexual dysfunction in women
A modern view on the screening of urolithiasis
Hereditary factor of metaphylaxis of urolithiasis
Treatment of infertility associated with a high level of sperm DNA fragmentation
COVID-19 associated encrusting cystitis
Endoscopic correction of vesicoureteral reflux in children: differentiated choice of method, material and dosage
Male infertility in the Russian Federation: statistics for 2000-2018
Evaluation of the effectiveness of perineum muscle training in restoring erectile function
Epidemiology of urolithiasis in the Perm region: results of a 30-year study
The economic and economic rationale for the use of modern methods of treating urolithiasis
Incidence of ICD in the Russian Federation (2005-2016)
Screening for prostate cancer: modern presentation and organization
Primary multiple transitional cell epithelium
Androgenic screening in men over 50 years
The role of stem cells in the treatment of urinary incontinence
Percutaneous nephrolithotripsy in infected urine
Testicular Prosthesis in Children and Adolescents: Results from a Multicenter Study
Premature ejaculation is the current state of the problem.
Alternative methods of treatment of localized prostate cancer
Partial doubling of the urethra: paraurethral motion
Comparative review of disposable flexible ureteronephroscope
The prevalence of symptoms of impairment of the function of the lower urinary tract in men according to the results of a population study
Patient-centered system of organization of medical care in urology using...
Radioisotope lymphoscintigraphy with PCa
Metabolic risk factors and formation of urinary stones
Ureteral amputation in the performance of contact ureterolithotrypsy
Principles of «4P Medicine» in the organization of health care in the context of urological diseases
Changes in the electrolyte composition of urine under the influence of sodium hypochlorite. The possibility
of reducing the risk of recurrence of nephrolithiasis
The analysis of the accuracy of factors for the survival predictiry after radical cystectomy
Citokine status in pathients with recurrent urinary tract infection
The role of distance education in improving primary health care professionals.
Comparative analysis of the results of cancer radical retropubic and robot-assisted prostatectomy.
Experience of clinical and economical treatment cancer patients
Comparison of analysis details for open, laparoscopic
and robot-assisted nephrectomy in the..
First results of standardized programme for BPH diagnosis and treatment
Evaluation of serum Chromogranin A levels in different prostatic diseases
Retarded ejaculation is a rare diagnosis
Clinical and economic analysis of the surgical treatment of prostate cancer
Brachytherapy prostate cancer: postimplantnaya dosimetry and dependence ...
Simulation prostatic carcinogenesis
Reconstructive plastic surgery of genitals in case of gigantic elephantiasis of the external genital organs in man. (Clinical case) DOI: 10.29188/2222-8543-2019-11-4-114-120
For citation:
Tillyashaykhov M.N., Boyko E.V., Rakhimov N.T., Koren L.P., Khasanov Sh.T., Abdusamatov N.T., Otaboev A.Kh. Reconstructive plastic surgery of genitals in case of gigantic elephantiasis of the external genital organs in man. (Clinical case). Experimental and clinical urology 2019; (4):114-120.
Tillyashaykhov M.N. – Dr. Sc., Professor, Director of the Republican Specialized Scientific and Practical Medical Center of Oncology and Radiology of the Ministry of Health of the Republic of Uzbekistan, Tashkent, Republic of Uzbekistan, tmirza58@mail.ru.
Boyko E.V. – PhD, Head of the Department of Urology of the Republican Specialized Scientific and Practical Medical Center of Oncology and Radiology of the Ministry of Health of the Republic of Uzbekistan, Tashkent, Republic of Uzbekistan, boykoelena82@mail.ru
Rakhimov N.M. – Dr. Sc., Research Scientist of the Department of Urology of the Republican Specialized Scientific and Practical Medical Center of Oncology and Radiology, Ministry of Health of the Republic of Uzbekistan, Tashkent, Republic of Uzbekistan, gulzor34@list.ru
Koren L.P. – PhD, scientific supervisor of the department of radiation diagnostics of the Republican Specialized Scientific and Practical Medical Center of Oncology and Radiology of the Ministry of Health of the Republic of Uzbekistan, Tashkent, Republic of Uzbekistan, larisa.koren@mail.ru
Khasanov Sh.T. – Junior Doctor of the Department of Urology of the Republican Specialized Scientific and Practical Medical Center of Oncology and Radiology of the Ministry of Health of the Republic of Uzbekistan, Tashkent, Republic of Uzbekistan
Abdusamatov N.T. – Junior Doctor of the Department of Urology of the Republican Specialized Scientific and Practical Medical Center of Oncology and Radiology of the Ministry of Health of the Republic of Uzbekistan, Tashkent, Republic of Uzbekistan
Ataboev A.Kh. – Resuscitator of the intensive therapy unit of the Republican specialized scientific and practical medical center of oncology and radiology of the Ministry of Health of the Republic of Uzbekistan, Tashkent, Republic of Uzbekistan, alisotaboev@gmail.com
1047
Introduction. Lymphedema (elephantiasis) of the scrotum is a rare disease. Pathology can be parasitic on the background of filariasis, congenital and secondary, with sexually transmitted infections (STIs) as well as after an injury. The early diagnosis of lymphedema presents great difficulties and in most cases tends to progression and recurrence. As of today, there are no sound recommendations for the treatment of patients with this pathology.
Materials and methods. In April 2018 a 21-year-old patient applied to the Department of Oncourology of the RSSPMCOR with complains of an increase in the scrotum to a gigantic size and the inability to maintain hygiene and difficulty in moving. The patient had signs of low mental status during communication. After examination and exclusion of parasitic etiology in this case the patient underwent surgical management. Intervention included phased removal of hypertrophic scrotum tissue followed by reconstructive plastic surgery using patient’s own soft tissues.
Results. The stages of interference to remove hypertrophic tissues and plastic reconstruction of the pudenda took about three and a half hours. On the background of postoperative symptomatic rehabilitation therapy, postoperative wounds healed in time by primary intention. The recovery period included consultations of a psychotherapist, which significantly improved the patient's psychosomatic state by the time of discharge.
Conclusions. Surgical removal of hypertrophic scrotal skin with various options of reconstructive plastic surgery of the pudenda cover as well as a multidimensional approach during the postoperative recovery period is one of the most effective treatment methods that significantly improves the quality of life of patients.
Conflict of interest. The authors declare no conflict of interest.
5-year impact factor of Russian science citation index from 15.01.2020 - 0,723
10-year H-index 21
Included in the Russian Science Citation Index (RSCI)
ISSN print 2222-8543 ISSN online 2712-8571
The journal is included in the List of Russian peer-reviewed scientific journals which should publish the main scientific results of dissertations for the degrees of Doctor and PhD of sciences
Поиск
International Classification
Сайт журнала "Экспериментальная и клиническая урология" содержит материалы
медицинского характера, предназначенные исключительно для работников
здравоохранения.
Подтвердите, пожалуйста, что Вы являетесь медицинским работником с соответствующим
дипломом или студентом медицинского образовательного учреждения.