Related Experiment Video
Updated: May 23, 2026
04:38
A Murine Tail Lymphedema Model
Published on: February 10, 2021
Giant scrotal lymphoedema - A case report.
Poornachandra Thejeswi1, Shivananda Prabhu, Alfred J Augustine
1Department of General Surgery, Manipal University, Kasturba Medical College, Mangalore 575001, Karnataka, India.
International Journal of Surgery Case Reports
|April 17, 2012
Summary
Giant scrotal lymphoedema, a rare condition often caused by lymphatic filariasis, presents significant challenges. Surgical reduction scrotoplasty can achieve successful outcomes even in massive cases weighing up to 32kg.
Area of Science:
- Urology
- Surgical Oncology
- Infectious Diseases
Background:
- Giant scrotal lymphoedema is a rare condition causing significant patient and clinician challenges.
- Lymphatic Filariasis is the most common global cause of scrotal elephantiasis.
- Progressive lymphoedema can lead to penile burial and impalpable testes.
Purpose of the Study:
- To present a case of massive scrotal lymphoedema.
- To describe the surgical technique for reduction scrotoplasty.
- To highlight successful outcomes in a large-volume case.
Main Methods:
- Surgical exploration and dissection to recover the penis.
- Creation of scrotal skin flaps for reconstruction.
- Debulking of lymphoedematous tissue and Y-shaped closure.
- Use of cautery and Ligasure for minimal blood loss.
Main Results:
- Resected scrotal tissue weighed 32kg, one of the largest reported.
- Penis was successfully recovered and reconstructed.
- Minimal blood loss achieved during the extensive procedure.
Conclusions:
- Resectional therapy is often necessary once fibrosis occurs.
- Successful reduction scrotoplasty is achievable for giant scrotal lymphoedemas.
- Acceptable cosmetic results can be obtained even in extreme cases.
