Al- Anbar Medical Journal

Abstract

Background: Scrotal lymph edema is rare outside endemic filariasis regions in Africa and Asia, and of variable causes.
Case presentation: In this report we describe a rare case of penoscrotal lymphedema in Iraq , and surgical technique for correction. We discuss also its etiology and therapeutic approaches. Radical excision of elephantoid tissues and reconstruction with scrotal flaps was performed. Good cosmetic and functional results were obtained with one stage procedure.
Conclusion: Surgery can be successful even in giant scrotal elephantiasis with good cosmetic and functional outcome.