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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X
EISSN: 1024-297X
Vol. 13, No. 1, 2008, pp. 110-116
Bioline Code: js08018
Full paper language: English
Document type: Case Report
Document available free of charge

East and Central African Journal of Surgery, Vol. 13, No. 1, 2008, pp. 110-116

 en Giant Peno-scrotal Lymphoedema: Surgical Considerations and Management.
Kalanzi, E.W.; Ssentongo, R. & Zeeman, R.

Abstract

Chronic lymphoedema can affect any parts of the body, including the scrotum and penis. Massive scrotal lymphoedema with gross genital deformation is called penoscrotal elephantiasis1. Penoscrotal elephantiasis can be a functionally and emotionally incapacitating dilemma to the patients. Usually patients suffer from pain, chronic irritation, repeated infections, ambulatory problems, sexual dysfunction and social dejection. Congenital (primary) lymphoedema is due to malformation of the lymphatic vessels and are rare conditions for example the congenital hereditary elephantiasis of the Meige type2. Acquired (secondary) genital lymphoedema can be caused by genital infection such as lymphogranuloma venereum (LGV), filarial infestation like Wuchereria bancrofti, recurrent inflammation, tumors, lymph node dissection, trauma and radiotherapy3. With severe penoscrotal lymphoedema, the mainstay of treatment involves surgical excision, followed by reconstruction using local flaps or skin grafts. We present 3 cases of giant penoscrotal elephantiasis treated by excision and reconstruction with anterior and posterior flaps as a successful treatment of this difficult problem.

 
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