{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T14:34:18Z","timestamp":1793370858859,"version":"4.5.0"},"reference-count":28,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.fr","clinicalkey.jp","jprasopen.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["JPRAS Open"],"published-print":{"date-parts":[[2026,11]]},"DOI":"10.1016\/j.jpra.2026.09.010","type":"journal-article","created":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T15:23:43Z","timestamp":1789226623000},"page":"404-414","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Exploring the aesthetic and sexual health impacts of reported lower extremity lymphedema-related symptoms in 174 patients following inguinal lymphadenectomy"],"prefix":"10.1016","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1675-3608","authenticated-orcid":false,"given":"Brett A.","family":"Hahn","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2905-653X","authenticated-orcid":false,"given":"Alieske","family":"Kleeven","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milan C.","family":"Richir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arjen J.","family":"Witkamp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anke M.J.","family":"Kuijpers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristien B.M.I","family":"Keymeulen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Henk","family":"Coert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0616-9566","authenticated-orcid":false,"given":"Shan Shan","family":"Qiu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David D.","family":"Krijgh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"7477","key":"10.1016\/j.jpra.2026.09.010_bib0001","doi-asserted-by":"crossref","first-page":"1272","DOI":"10.1136\/bmj.329.7477.1272","article-title":"Surgical management of metastatic inguinal lymphadenopathy","volume":"329","author":"Swan","year":"2004","journal-title":"BMJ"},{"issue":"4","key":"10.1016\/j.jpra.2026.09.010_bib0002","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1097\/01.sap.0000257149.42922.7e","article-title":"Lymphedema","volume":"59","author":"Warren","year":"2007","journal-title":"Ann Plast Surg"},{"issue":"6","key":"10.1016\/j.jpra.2026.09.010_bib0003","doi-asserted-by":"crossref","first-page":"1009","DOI":"10.1016\/j.jaad.2017.03.022","article-title":"Lymphedema","volume":"77","author":"Grada","year":"2017","journal-title":"J Am Acad Dermatol"},{"key":"10.1016\/j.jpra.2026.09.010_bib0004","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/j.ejogrb.2015.06.011","article-title":"Impact of lower limb lymphedema on quality of life in gynecologic cancer survivors after pelvic lymph node dissection","volume":"192","author":"Kim","year":"2015","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"2","key":"10.1016\/j.jpra.2026.09.010_bib0005","first-page":"1303","article-title":"Onset and burden of lower limb lymphedema after radical prostatectomy: a cross-sectional study","volume":"30","author":"Neuberger","year":"2022","journal-title":"Support Care Cancer"},{"key":"10.1016\/j.jpra.2026.09.010_bib0006","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/j.jpra.2024.11.001","article-title":"Prevalence of lower extremity edema following inguinal lymphadenectomy: A systematic review and meta-analysis","volume":"43","author":"Hahn","year":"2025","journal-title":"JPRAS Open"},{"issue":"4","key":"10.1016\/j.jpra.2026.09.010_bib0007","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1191\/0269216305pm1020oa","article-title":"Lymphoedema: estimating the size of the problem","volume":"19","author":"Williams","year":"2005","journal-title":"Palliat Med"},{"issue":"1","key":"10.1016\/j.jpra.2026.09.010_bib0008","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1111\/j.1742-4801.2005.00066.x","article-title":"Health-related quality of life with Lymphoedema: a review of the literature","volume":"2","author":"Morgan","year":"2005","journal-title":"Int Wound J"},{"issue":"6","key":"10.1016\/j.jpra.2026.09.010_bib0009","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1055\/s-0037-1599100","article-title":"Systematic review of the surgical treatment of extremity Lymphedema","volume":"33","author":"Carl","year":"2017","journal-title":"J Reconstr Microsurg"},{"key":"10.1016\/j.jpra.2026.09.010_bib0010","doi-asserted-by":"crossref","DOI":"10.1016\/j.suronc.2025.102257","article-title":"The QALY study: quality of life and lower extremity lymphedema in 174 patients after inguinal lymphadenectomY","volume":"62","author":"Hahn","year":"2025","journal-title":"Surg Oncol"},{"issue":"5","key":"10.1016\/j.jpra.2026.09.010_bib0011","doi-asserted-by":"crossref","first-page":"705","DOI":"10.2522\/ptj.20130285","article-title":"Lymphoedema functioning, disability and health questionnaire for lower limb lymphoedema (Lymph-ICF-LL): reliability and validity","volume":"94","author":"Devoogdt","year":"2014","journal-title":"Phys Ther"},{"issue":"7","key":"10.1016\/j.jpra.2026.09.010_bib0012","doi-asserted-by":"crossref","first-page":"1629","DOI":"10.1007\/s11136-014-0907-1","article-title":"Reliability and validity of the dutch-translated body image scale","volume":"24","author":"van Verschuer","year":"2015","journal-title":"Qual Life Res"},{"key":"10.1016\/j.jpra.2026.09.010_bib0013","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1016\/j.ejca.2021.06.003","article-title":"Psychometric validation of the European organisation for research and treatment of cancer-quality of life questionnaire sexual health (EORTC QLQ-SH22)","volume":"154","author":"Greimel","year":"2021","journal-title":"Eur J Cancer"},{"issue":"4","key":"10.1016\/j.jpra.2026.09.010_bib0014","first-page":"3633","article-title":"Sexual quality of life assessment in young women with breast cancer during adjuvant endocrine therapy and patient-reported supportive measures","volume":"30","author":"Bobrie","year":"2022","journal-title":"Support Care Cancer"},{"key":"10.1016\/j.jpra.2026.09.010_bib0015","unstructured":"R Core Team. R: A Language and Environment for Statistical Computing. Published online 2024. https:\/\/www.r-project.org\/."},{"key":"10.1016\/j.jpra.2026.09.010_bib0016","doi-asserted-by":"crossref","DOI":"10.3402\/qhw.v9.24354","article-title":"Illustrating the (in)visible: understanding the impact of loss in adults living with secondary lymphedema after cancer","volume":"9","author":"Thomas","year":"2014","journal-title":"Int J Qual Stud Health Well-being"},{"key":"10.1016\/j.jpra.2026.09.010_bib0017","doi-asserted-by":"crossref","unstructured":"Bowman C, Piedalue KA, Baydoun M, Carlson LE. The quality of life and psychosocial implications of cancer-related lower-extremity lymphedema: a systematic review of the literature. J Clin Med. 2020;9(10). doi:10.3390\/jcm9103200.","DOI":"10.3390\/jcm9103200"},{"key":"10.1016\/j.jpra.2026.09.010_bib0018","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1016\/j.ygyno.2023.01.019","article-title":"Functional and psychosocial quality of life in gynecologic Cancer survivors with and without lymphedema symptoms","volume":"170","author":"Koehler","year":"2023","journal-title":"Gynecol Oncol"},{"issue":"1","key":"10.1016\/j.jpra.2026.09.010_bib0019","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1080\/03630242.2022.2155900","article-title":"Association of lower extremity lymphedema with pelvic floor functions, sleep quality, kinesiophobia, body image in patients with gynecological cancers","volume":"63","author":"Abakay","year":"2023","journal-title":"Women Health"},{"issue":"2","key":"10.1016\/j.jpra.2026.09.010_bib0020","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1016\/j.jaad.2008.04.013","article-title":"Lower extremity lymphedema update: pathophysiology, diagnosis, and treatment guidelines","volume":"59","author":"Kerchner","year":"2008","journal-title":"J Am Acad Dermatol"},{"issue":"3","key":"10.1016\/j.jpra.2026.09.010_bib0021","doi-asserted-by":"crossref","first-page":"712","DOI":"10.1016\/j.ygyno.2012.03.017","article-title":"The efficacy of complex decongestive physiotherapy (CDP) and predictive factors of response to CDP in lower limb lymphedema (LLL) after pelvic cancer treatment","volume":"125","author":"Liao","year":"2012","journal-title":"Gynecol Oncol"},{"issue":"6","key":"10.1016\/j.jpra.2026.09.010_bib0022","first-page":"318","article-title":"Retrospective study on the trajectories of lower limb volume after outpatient-based complex decongestive therapy in post-operative gynecological cancer patients with lymphedema","volume":"31","author":"Masui","year":"2023","journal-title":"Support Care Cancer"},{"issue":"3","key":"10.1016\/j.jpra.2026.09.010_bib0023","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1188\/03.ONF.417-423","article-title":"The experience of lower limb lymphedema for women after treatment for gynecologic cancer","volume":"30","author":"Ryan","year":"2003","journal-title":"Oncol Nurs Forum"},{"issue":"3","key":"10.1016\/j.jpra.2026.09.010_bib0024","doi-asserted-by":"crossref","DOI":"10.1002\/micr.70050","article-title":"Objectifying clinical outcomes after Lymphaticovenous anastomosis and vascularized lymph node transfer in the treatment of extremity lymphedema: a systematic review and meta-analysis","volume":"45","author":"Hahn","year":"2025","journal-title":"Microsurgery"},{"issue":"1","key":"10.1016\/j.jpra.2026.09.010_bib0025","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1007\/s10549-020-05839-4","article-title":"Outcomes following lymphaticovenous anastomosis (LVA) for 100 cases of lymphedema: results over 24-months follow-up","volume":"184","author":"Qiu","year":"2020","journal-title":"Breast Cancer Res Treat"},{"key":"10.1016\/j.jpra.2026.09.010_bib0026","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/j.bjps.2023.06.068","article-title":"Impact and outcomes after lymphaticovenous anastomosis for 150 cases of lymphoedema followed up over 24 months","volume":"85","author":"Thomas","year":"2023","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"17","key":"10.1016\/j.jpra.2026.09.010_bib0027","doi-asserted-by":"crossref","DOI":"10.3390\/jcm11174979","article-title":"Correlation between lymphatic surgery outcome and lymphatic image-staging or clinical severity in patients with lymphedema","volume":"11","author":"Imai","year":"2022","journal-title":"J Clin Med"},{"issue":"3","key":"10.1016\/j.jpra.2026.09.010_bib0028","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1089\/lrb.2018.0014","article-title":"The relationship between clinical and indocyanine green staging in lymphedema","volume":"17","author":"Garza","year":"2019","journal-title":"Lymphat Res Biol"}],"container-title":["JPRAS Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2352587826003347?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2352587826003347?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T14:00:40Z","timestamp":1793368840000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2352587826003347"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,11]]},"references-count":28,"alternative-id":["S2352587826003347"],"URL":"https:\/\/doi.org\/10.1016\/j.jpra.2026.09.010","relation":{},"ISSN":["2352-5878"],"issn-type":[{"value":"2352-5878","type":"print"}],"subject":[],"published":{"date-parts":[[2026,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Exploring the aesthetic and sexual health impacts of reported lower extremity lymphedema-related symptoms in 174 patients following inguinal lymphadenectomy","name":"articletitle","label":"Article Title"},{"value":"JPRAS Open","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jpra.2026.09.010","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons.","name":"copyright","label":"Copyright"}]}}