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Large Genital Cavernous Hemangioma: A Rare Surgically Correctable Entity.
Goto Gangkak1, Anoop Mishra1, Shivam Priyadarshi1
1Department of Urology, SMS Medical College & Hospitals, Jaipur, Rajasthan 302004, India.
Case Reports in Urology
|December 23, 2015
Summary
A 24-year-old male experienced a 3-year history of painless penoscrotal swelling. Surgical excision of the diagnosed hemangioma resulted in a successful outcome with no recurrence at 6 months.
Area of Science:
- Urology
- Vascular Surgery
- Dermatology
Background:
- Penoscrotal swelling can present with various etiologies.
- Vascular lesions, such as hemangiomas, can occur in the genital area.
- Accurate diagnosis is crucial for effective management.
Purpose of the Study:
- To report a case of penoscrotal hemangioma in a young male.
- To describe the diagnostic approach and surgical management.
- To evaluate the long-term outcome and cosmetic results.
Main Methods:
- Clinical examination revealed a large, superficial, worm-like swelling.
- Color Doppler ultrasound demonstrated dilated, tortuous vessels.
- Angiography confirmed the absence of arteriovenous connections.
- Surgical excision was performed using circumcoronal and scrotal incisions.
Main Results:
- A diagnosis of hemangioma was established based on imaging findings.
- The surgical procedure was completed without complications.
- Postoperative recovery was uneventful.
- At 6-month follow-up, the patient showed complete wound healing and no signs of recurrence.
Conclusions:
- Penoscrotal hemangioma is a rare but treatable condition.
- Surgical excision is an effective treatment option.
- Excellent cosmetic outcomes can be achieved with appropriate surgical technique.

