{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T16:47:46Z","timestamp":1758818866015,"version":"3.40.5"},"reference-count":29,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,9,28]],"date-time":"2020-09-28T00:00:00Z","timestamp":1601251200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Genital lymphedema is a rare condition in males that can lead to difficulty in voiding, sexual function, hygiene, and mobility. Only several methods of treatment have been developed and studied, primarily focusing on restoring patency of diseased lymph channels or resection of affected tissue. We are the first to describe the surgical technique and our experience of using free submental and submandibular arterio\u2010venous vascularized lymph node transfer specifically for the treatment of scrotal edema. We report on two patients who have undergone selective neck dissection of submental and submandibular lymph nodes based off the facial artery and vein. These vascularized lymph nodes were then transferred to the groin, with anastomosis to the deep inferior epigastric perforator artery and vein. The first patient, a 63\u2009year old had initial pretreatment measurement of the anal verge to base of penis was 18\u2009cm in length, and maximum circumference of scrotum 27\u2009cm for the first patient, and 31\u201342\u2009cm, respectively, for the second patient, a 66\u2009year old. At 9\u2010month review for the first patient and 6\u2010month review for the second patient, both donor and recipient site wounds had healed. The anal verge to base of penis length had decreased to 16\u2009cm, while maximum circumference of scrotum had decreased to 23\u2009cm, and 25\u201338\u2009cm, respectively, for the second patient. We have had good success with reducing the burden on patients using this novel technique, and hence it should be considered as a viable treatment methodology in appropriately selected patients.<\/jats:p>","DOI":"10.1002\/micr.30651","type":"journal-article","created":{"date-parts":[[2020,9,28]],"date-time":"2020-09-28T15:38:02Z","timestamp":1601307482000},"page":"808-813","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Use of submental and submandibular free vascularized lymph node transfer for treatment of scrotal lymphedema: Report of two cases"],"prefix":"10.1002","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4444-0353","authenticated-orcid":false,"given":"Robert","family":"Phan","sequence":"first","affiliation":[{"name":"Peninsula Clinical School, Central Clinical School, Faculty of Medicine, Monash University  Frankston Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5989-4809","authenticated-orcid":false,"given":"Marc A.","family":"Seifman","sequence":"additional","affiliation":[{"name":"Peninsula Clinical School, Central Clinical School, Faculty of Medicine, Monash University  Frankston Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raminder","family":"Dhillon","sequence":"additional","affiliation":[{"name":"Peninsula Clinical School, Central Clinical School, Faculty of Medicine, Monash University  Frankston Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pelicia","family":"Lim","sequence":"additional","affiliation":[{"name":"Peninsula Clinical School, Central Clinical School, Faculty of Medicine, Monash University  Frankston Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David J.","family":"Hunter\u2010Smith","sequence":"additional","affiliation":[{"name":"Peninsula Clinical School, Central Clinical School, Faculty of Medicine, Monash University  Frankston Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4092-182X","authenticated-orcid":false,"given":"Warren M.","family":"Rozen","sequence":"additional","affiliation":[{"name":"Peninsula Clinical School, Central Clinical School, Faculty of Medicine, Monash University  Frankston Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,9,28]]},"reference":[{"issue":"6","key":"e_1_2_4_2_1","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1097\/00000637-199112000-00010","article-title":"Reconstruction of penile and scrotal lymphedema","volume":"27","author":"Apesos J.","year":"1991","journal-title":"Annals of Plastic Surgery"},{"doi-asserted-by":"publisher","key":"e_1_2_4_3_1","DOI":"10.5999\/aps.2019.01123"},{"doi-asserted-by":"publisher","key":"e_1_2_4_4_1","DOI":"10.1016\/j.bjps.2012.06.024"},{"issue":"5","key":"e_1_2_4_5_1","doi-asserted-by":"crossref","first-page":"686","DOI":"10.1016\/S0002-9610(85)80156-2","article-title":"Elephantiasis of the penis and scrotum","volume":"149","author":"Chandra Dandapat M.","year":"1985","journal-title":"The American Journal of Surgery"},{"doi-asserted-by":"publisher","key":"e_1_2_4_6_1","DOI":"10.1097\/PRS.0000000000000822"},{"doi-asserted-by":"publisher","key":"e_1_2_4_7_1","DOI":"10.1002\/micr.20968"},{"doi-asserted-by":"publisher","key":"e_1_2_4_8_1","DOI":"10.1111\/j.1464-410X.2008.07559.x"},{"doi-asserted-by":"publisher","key":"e_1_2_4_9_1","DOI":"10.1016\/j.jpra.2019.01.007"},{"doi-asserted-by":"publisher","key":"e_1_2_4_10_1","DOI":"10.1002\/micr.30435"},{"doi-asserted-by":"publisher","key":"e_1_2_4_11_1","DOI":"10.1002\/micr.1920030109"},{"doi-asserted-by":"publisher","key":"e_1_2_4_12_1","DOI":"10.1097\/SAP.0000000000001875"},{"doi-asserted-by":"publisher","key":"e_1_2_4_13_1","DOI":"10.1097\/01.sap.0000258448.17867.20"},{"key":"e_1_2_4_14_1","first-page":"bcr","article-title":"Surgical management of chronic genital lymphoedema","author":"Hennessey D. 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