Surgical repair of idiopathic scrotal elephantiasis.
Scrotal lymphedema (scrotal elephantiasis) is uncommon outside of filariasis endemic regions. We present a case of a 65-year-old with idiopathic lymphedema of the scrotum and functional impairment of the penis. The patient underwent surgical excision of the edematous subcutaneous tissues and plastic reconstruction of his penis and scrotum. Three years later, the patient showed no signs of local recurrence, had complete restoration of urinary and sexual function and was extremely satisfied with the result. Surgical management was an effective strategy in the management of scrotal lymphedema in this case.
Zacharakis
Evangelos
E
Second Department of Urology, Aristotle University of Thessaloniki, Papageorgiou General Teaching Hospital, Thessaloniki, Greece. manoszacharakis@hotmail.com
Dudderidge
Tim
T
Zacharakis
Emmanouil
E
Ioannidis
Evangelos
E
D000368:Aged; D004604:Elephantiasis / Q000473:pathology / Q000601:surgery*; D005832:Genital Diseases, Male / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D010413:Penis / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D012611:Scrotum / Q000601:surgery