Penoscrotal transposition (PST) is a rare anomaly of the external genitalia that can be complete or incomplete while incomplete type is more common. Various surgical methods are described for correction of incomplete PST. Modified Glenn Anderson’s method is commonly used. This method is known to cause major penile lymphoedema following surgery. Various modifications have been described to prese...

INTRODUCTION Lymphoedema results from impaired lymphatic transport leading to the pathologic accumulation of protein-rich lymphatic fluid in the interstitial space, most commonly in the extremities. Primary lymphoedema, a developmental abnormality of the lymphatic system, may become evident later in life when a triggering event exceeds the capacity of normal lymphatic flow. CLINICAL PICTURE W...

Lymphoedema Service, Wolverhampton; Module Leader of Lymphoedema Degree at Compton Hospice and Trainer and Director of Leduc UK Laser has been used for the management of lymphoedema and other conditions for many years. Since attending the Australasian conference in Adelaide in 2002, laser treatment has appealed to the author as an adjunctive therapy. Due to the absence of the UK ‘CE’ mark, it c...

Dr Caroline McIntosh is a Senior Lecturer at the Department of Podiatry, National University of Ireland, Galway; Tracy Green is a Macmillan Lymphoedema Clinical Nurse Specialist, Macmillan Unit, The Calderdale Royal Hospital, Halifax Lymphoedema is a chronic progressive condition for which there is no cure. Unless it is managed effectively, lymphoedema can gradually deteriorate and treatment ca...

PURPOSE A systematic literature review was conducted to determine best practice conservative management of pediatric lymphoedema. METHOD The PRISMA protocol was followed; a search of Ovid Medline, Cinahl and Scopus was conducted using the search terms children OR pediatric OR adolescent AND lymphoedema OR lymphedema. Studies about management or treatment of lymphoedema in children were includ...

INTRODUCTION Reflex sympathetic dystrophy can result in severe disability with only one in five patients able to fully resume prior activities. Therefore, it is important to diagnose this condition early and begin appropriate treatment. Factitious lymphoedema can mimic reflex sympathetic dystrophy and is caused by self-inflicted tourniquets, blows to the arm or repeated skin irritation. Patient...

This paper overviews the problem of the clinical basis, diagnosis and available therapy modalities for lymphoedema. Regarding diagnostics, the measurement of circumference, volume and thickness of the limb are presented, as well as diagnostic imaging modalities. These include direct and indirect lymphography, MRI, CT, ultrasound imaging and lymphoscintigraphy, which is currently considered the ...

Allergic contact dermatitis is very common and may be complicated by secondary infections. Chronic lymphoedema is a potentially debilitating condition, which may occur due to secondary infections or the dermatitis itself. The problem of chronic lymphoedema following allergic contact dermatitis has been infrequently reported. We report a case of a 47-year-old woman with severe allergic contact d...

BACKGROUND Managing lymphatic filariasis (LF) morbidity and reducing disability is one of the two primary goals of the Global Programme to Eliminate Lymphatic Filariasis. However, in order to achieve this, the geographical distribution of LF morbidity needs to be better estimated. METHODS All cases of lymphoedema within a single health centre catchment area (pop. 42 000) in the southern regio...

Children who present with unilateral or bilateral swelling of the legs are often suspected of having a deep venous thrombosis. The incidence of deep venous thrombosis in children is low and lymphoedema may be a more appropriate diagnosis. Lymphoedema can be primary or secondary. In childhood, primary lymphoedema is more common and may be seen associated with other congenital abnormalities, such...