Introduction: Generally introductory lymphedema training courses involve a significant portion of hands-on laboratory practice in manual lymphatic drainage (MLD) and bandaging techniques. This is to enhance the learners understanding of the concepts and practice the technical skills on fellow participants to improve on the skill and confidence prior to actual patient treatments. Often, training is focused on upper and lower extremity lymphedema. The areas of head/neck and genital are mentioned; yet, vary in the scope of information disseminated. Socio-cultural taboos prevail regarding genital and sexual health and thus limiting group discussion. These beliefs and the paucity of comprehensive hands-on training can impede the successful treatment of genital lymphedema. One training program initiated the use of donning cloth models of enlarged genitals\ia to allow practitioners to learn and practice evaluation, MLD, and bandaging techniques in a lab setting to enhance their skills and confidence with the diagnosis of genital lymphedema.

Aim: This study has two aims: 1) to evaluate the effect of three different instruction methods on practitioner knowledge and skill acquisition regarding genital lymphoma cross introductory and advanced courses and, 2: to evaluate the perception and confidence levels of the same practitioners in treating genital lymphedema. The instruction method include: in-person instruction without hands-on laboratory component, virtual, and in-person with a hands-on laboratory component.

Method: A survey was presented to international practitioners demonstrating an interest in genital lymphedema. The survey assessed when training on genital lymphedema occurred (initial and/or advanced), the type of training the practitioners received (no hands-on laboratory training, virtual, and/or hands-on laboratory training), and the self-reported confidence level of the practitioners in treating genital lymphedema. The surveys were sent to all practitioners that downloaded genital lymphedema quality of life assessment tools, those that attended advanced genital courses (virtual and/or hands-on with laboratory), and those attending a hands-on conference associated lab.