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[Giant scrotal lymphedema caused by Milroy's disease]
G Gueglio1, Edin Quijada, H Salas
1Servicio de Urología, Hospital Italiano de Buenos Aires, Argentina.
Objectives:
To report a new case of giant scrotal lymphedema due to Milroy's disease, its treatment and outcome.
Methods:
A 27-year-old man with generalized congenital lymphedema presented with a giant scrotal mass which interfered with his daily activities and physiological necessities. Physical examination showed a scrotal mass 40 x 40 cm in size and a normal penis. CT scan showed a homogeneous mass, thickened vaginal tunica, and bilateral hydrocele.
Results:
A surgical procedure was performed including mass resection (5.6 kg), and bilateral hydrocelectomy. Skin defect was covered with skin grafts.
Conclusions:
Several therapeutic alternatives have been suggested for Milroy's disease with genital involvement. Nevertheless, when complications are as severe as in the present case, the only valid therapy is surgery.
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