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[Giant scrotal lymphedema].

René Salas Cabrera¹, Francisco Moré Pérez

¹Sección Uro-oncológica, Hospital Vladimir Ilich Lenin, Holguín, Cuba. nicotina@cristal.hlg.sld.cu

Archivos Espanoles De Urologia

|May 9, 2007

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This case study details a 58-year-old male with severe genital lymphedema following surgery. The successful surgical intervention demonstrates that rehabilitation is possible for patients with this condition.

Area of Science:

Urology
Surgical Oncology
Lymphedema Management

Background:

Genital lymphedema can arise years after pelvic surgeries like partial penectomy and lymphadenectomy.
Long-term sequelae of such procedures can significantly impact patient quality of life.

Observation:

A 58-year-old male presented with significant, long-standing genital volume increase affecting the penis and scrotum.
The patient had a history of partial penectomy and bilateral inguinal lymphadenectomy 26 years prior, indicating a chronic condition.

Findings:

Surgical management involved complete bilateral scrotal excision (including testicles) and amputation of the penile remnant.
The urethra was successfully anastomosed to the scrotal skin at the base, with a satisfactory post-operative outcome.

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Implications:

This case highlights the potential for severe aesthetic and psychological distress in patients with genital lymphedema.
Effective surgical rehabilitation is achievable, improving outcomes for individuals with this challenging condition.