title: Surgical treatment in a case of giant scrotal lymphedema.
abstract: OBJECTIVE
  Scrotal lymphedema (SL) is a rare clinical pathology with multiple etiologies. We report a case of idiopathic giant scrotal lymphedema and review the existing medical literature in Medline from the last ten years.
  
  
  METHODS
  We report the case of a male patient with a giant scrotal lymphedema (43×40 cm) of unknown etiology developed over four years.
  
  
  RESULTS
  The patient was treated by scrotal excision and reconstruction with skin graft plasty, with a successful result.
  
  
  CONCLUSIONS
  Scrotal Lymphedema is a rare entity, especially in industrialized countries. If the lymphedema is severe, surgery is the most appropriate therapeutic option, whatever the cause is. Complete resection up to healthy tissue and surgical reconstruction is the choice. Thin skin grafts are necessary for reconstruction when it affects the entire scrotum.
authors.affiliation: Urology Department, Hospital Virgen de la Salud, Complejo Hospitalario de Toledo, Spain. erubio2000@gmail.com
authors.forename: Emilio Rubio
authors.initials: ER
authors.lastname: Hidalgo
authors.forename: Antonio López
authors.initials: AL
authors.lastname: García-Moreno
authors.forename: Elena Buendía
authors.initials: EB
authors.lastname: González
authors.forename: Antonio Sampietro
authors.initials: AS
authors.lastname: Crespo
authors.forename: Blanca Arce
authors.initials: BA
authors.lastname: Casado
authors.forename: Javier de la Fuente
authors.initials: Jde L
authors.lastname: Núñez
mesh_terms: D005832:Genital Diseases, Male / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008209:Lymphedema / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012611:Scrotum