title: Elephantiasis Nostras Verrucosa. Excision with full-thickness skin grafting of the penis, scrotum, and perineal area.
abstract: BACKGROUND
  Elephantiasis nostras verrucosa is a rare cutaneous complication of chronic lymphatic obstruction. It is most commonly caused by bacterial infection, trauma, neoplasia, obesity, and venous stasis.
  
  
  METHODS
  In this report, we describe a case of elephantiasis nostras verrucosa involving the scrotum and perineal area in a 32-year-old. The lesions were excised, and full-thickness skin grafting of the penis, scrotum, and perineal skin was performed.
  
  
  CONCLUSIONS
  This case demonstrates the efficacy of excision with full-thickness skin grafting of the penis, scrotum, and perineal area in a patient with elephantiasis nostras verrucosa confined to the scrotum and perineal region.
authors.affiliation: University of Alabama at Birmingham, Division of Plastic Surgery, Birmingham, AL 35294, USA.
authors.forename: Nathan
authors.initials: N
authors.lastname: Judge
authors.affiliation: University of Alabama at Birmingham, Division of Plastic Surgery, Birmingham, AL 35294, USA.
authors.forename: Ali
authors.initials: A
authors.lastname: Kilic
keywords: elephantiasis nostras verrucosa; scrotum; surgery; surgical excision