Q. Please suggest me the cure for lymphangitis in my leg.

Hello doctor,

I am a 43-year-old male. Born with meningomyelocele and operated before I was 1. Operated for the clubbed foot at one and half years in. I can walk with elbow crutches. 17 years before bladder augmentation operation with appendicular vesicostomy surgery was done for urinary incontinence. But during the surgery, only bladder augmentation surgery was done and left with a suprapubic catheter, and appendicular vesicostomy was not done. Due to lumbar puncture for giving spinal analgesia, I lost sensation below the knee in both my legs.

Due to the continuous loss of sensation after the operation, I developed severe wound and was treated with intravenous antibiotics. My right leg was amputated below the knee before six years. After the surgery, my left leg was affected by lymphangitis. Three years before due to long term retention of the suprapubic catheter, a two huge bladder stone of 5 cm and a small 3 cm was operated. Due to loss of spinal puncture, I am suffering from parenthesis till date. The photos of my leg are attached here along with the lymphoscintigraphy test report which shows a block in lymphatic vessels. Please let me know what treatment can be given to cure my problem and which doctor I should consult for my surgery.