Figure 2.

A male patient, 56 years old, presented to our unit with GL stage II involving the scrotal area, subsequent to prostatic cancer treated with prostatectomy, radiation and chemotherapy (a) The scrotal lymphedema did not respond to 6 months of CDT, so it was treated with LVA procedure: (b) during surgery, ICG was infused near the groin area and the lymphatic ducts were mapped with an ICG camera. Moreover, patent blue was injected to visualize the lymphatic vessels directly. One LVA was performed on each side of the groin area. Three months after surgery (c), there was remarkable improvement of swelling at the genital area, and the patient felt more comfortable, with easier passage of urine reported.