Lymphedema is generally located on the lower or upper limbs (legs or arms). In some cases, it appears in the genital area, in both men and women. Let's take a look at this form of lymphedema, its specificities and its management in women.
Lymphedema can affect the female genital tract, particularly following the various treatments for pelvic cancer (ovarian, cervical, endometrial cancer, etc.)(1). The management of patients and the organization of care are specific, due to the location of the pathology.
Detecting symptoms of genital lymphedema
The appearance of genital lymphedema can follow cancer treatments. It can also be a sign of a recurrence of pelvic cancer. Medical follow-up and medical imaging (CT scan, MRI) can confirm the diagnosis of recurrence(1).
In women, this condition can affect the labia majora, labia minora, pubic area or abdomen(1). Symptoms include:
feeling of heaviness and swelling in the lower abdomen or genital area(2),
feeling of warmth or tightness felt in the genital area,
feeling of discomfort when moving (walking)(2),
presence of more or less significant discharge, linked to the appearance of lymphatic vesicles in the genital area(1).
Adapting treatment and care
The management of genital lymphedema is complex in women(3). Indeed, it is imperative to ensure effective lymphatic drainage, generally in the pelvic area(3). To do this, a foam plate is made according to anatomical measurements, carried out on a case-by-case basis. This plate, covered with a suitable bandage, is inserted into a compression undergarment in order to compress the swollen area and thus allow lymph to circulate (custom-made panty). This device must not hinder walking(3). The compression can be increased by superimposing several plates.
The implementation of care must be carried out in a lymphology department or on an outpatient basis, during the decongestive phase of treatment(3). The patient's written consent must be obtained before starting the interventions(3).
If you have any other questions, ask your doctor for advice.
Lymphedema is a pathology that can affect the upper limbs (arms, hands) and lower limbs (legs, feet). Following cancer, for example of the prostate, this condition can also affect the genital area in men.
The lymphatic system and/or the lymph nodes. It can cause many daily problems for people who have it. It often leads to skin problems, which can be treated with prevention and good daily hygiene habits.
