[A case of iatrogenic scrotal elephantiasis: reconstruction of the scrotal purse and the cutaneous sleeve of the penis with local skin flaps]

Penoscrotal edema: a case report and literature review

BACKGROUND

Penoscrotal edema is typically caused by lymphatic obstruction, which can have both primary and secondary causes. Studies describing congenital penoscrotal edema are rare. Surgery can be divided into two types: The first approach involves extensive removal of diseased tissue and tissue reconstruction. The second approach is removal of the lesions and creating additional lymphatic vascular anastomoses.

CASE PRESENTATION

We present a case report of a 15-year-old patient with recurrent penoscrotal edema and swelling of both lower extremities. The literature were also reviewed to provide additional information. Physical examination revealed slow lymphatic reflux of the lower extremities and no obvious abnormalities in testicular morphology, bilaterally, or blood supply. Surgery was performed by excising the affected skin and subcutaneous tissue and the flaps was cut in the middle in Y shape to cover the penis and scrotum. Postoperative follow-up revealed wound integrity and patient satisfaction with the outcome.

CONCLUSION

Excision and reconstructive surgery are the primary treatments for penoscrotal edema. The majority of reported patients undergoing excision and reconstruction achieved satisfactory reshaping and improved their life quality.

Reconstructive surgery for giant penoscrotal elephantiasis: about one case

Elephantiasis of the external genitalia is characterized by lymphedema and thickening of the subcutaneous tissues. This gives the skin an appearance similar to a pachyderm skin. This pathology is invalidating for the patient. Reconstructive surgery is often the only way to restaure aesthetic and functional aspects of the external genitalia. We aim to report a 52 year man with huge penoscrotal elephantiasis who underwent excision and penoscrotal reconstruction at the department of Urology, Yalgado Ouedraogo Teaching Hospital at Ouagadougou.

[Not Available]

Nous rapportons un nouveau cas d'éléphantiasis pénoscrotal idiopathique chez un adulte de 31 ans. La masse scrotale atteignait les genoux, avec lésions de grattage traitées et guéries à l'éosine aqueuse associée à une antibiothérapie par voie parentérale. Une exérèse de la masse scrotale a été effectuée, suivie d'une plastie de peau scrotale postérosupérieure associée à une circoncision partielle. Le résultat esthétique et fonctionnel à long terme fut excellent, avec une peau pénienne assouplie et élastique.

[Two cases of penoscrotal elephantiasis treated by Ouzilleau's surgical procedure]

Two cases of penoscrotal elephantiasis treated following Ouzilleau's technique. The authors present two cases of penoscrotal elephantiasis operated following Ouzilleau's technique. This pathology is characterized by his painless, that the reason of a long time evolution and hence in consultation. Filariosis is the common etiology in tropical area. In our cases, the aetiology is unknown. Scrotal and penis elephantiasis is responsible of aesthetic and functional embarrassment. Resection of a considerable cutaneous mass associated with a reconstruction of the scrotal purse and the cutaneous sleeve of the penis using local flaps remain the suitable means to give a comfort of life.