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BMC Urology
Published in: BMC Urology 1/2019

Open Access 01-12-2019 | Edema | Case report

Penoscrotal edema: a case report and literature review

Authors: Tian Lin, Yun-Zhi Lin, Yu-Peng Wu, Ting-Ting Lin, Dong-Ning Chen, Yong Wei, Xue-Yi Xue, Ning Xu

Published in: BMC Urology | Issue 1/2019

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Abstract

Background

Penoscrotal edema is typically caused by lymphatic obstruction, which can have both primary and secondary causes. Studies describing congenital penoscrotal edema are rare. Surgery can be divided into two types: The first approach involves extensive removal of diseased tissue and tissue reconstruction. The second approach is removal of the lesions and creating additional lymphatic vascular anastomoses.

Case presentation

We present a case report of a 15-year-old patient with recurrent penoscrotal edema and swelling of both lower extremities. The literature were also reviewed to provide additional information. Physical examination revealed slow lymphatic reflux of the lower extremities and no obvious abnormalities in testicular morphology, bilaterally, or blood supply. Surgery was performed by excising the affected skin and subcutaneous tissue and the flaps was cut in the middle in Y shape to cover the penis and scrotum. Postoperative follow-up revealed wound integrity and patient satisfaction with the outcome.

Conclusion

Excision and reconstructive surgery are the primary treatments for penoscrotal edema. The majority of reported patients undergoing excision and reconstruction achieved satisfactory reshaping and improved their life quality.
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Literature
1.
Nelson RA, Alberts GL, King LE Jr. Penile and scrotal elephantiasis caused by indolent chlamydia trachomatis infection. Urology. 2003;61(1):224.PubMedCrossRef
2.
Horinaga M, Masuda T, Jitsukawa S. A case of scrotal elephantiasis 30 years after treatment of penile carcinoma. Hinyokika Kiyo. 1998;44(11):839–41.PubMed
3.
4.
Denzinger S, Watzlawek E, Burger M, Wieland WF, Otto W. Giant scrotal elephantiasis of inflammatory etiology: a case report. J Med Case Rep. 2007;1(1):23.PubMedPubMedCentralCrossRef
5.
6.
Zacharakis E, Dudderidge T, Zacharakis E, Ioannidis E. Surgical repair of idiopathic scrotal elephantiasis. South Med J. 2008;101(2):208–10.PubMedCrossRef
7.
Singh V, Sinha RJ, Sankhwar SN, Kumar V. Reconstructive surgery for penoscrotal filarial lymphedema: a decade of experience and follow-up. Urology. 2011;77(5):1228–31.PubMedCrossRef
8.
Champaneria MC, Workman A, Kao H, Ray AO, Hill M. Reconstruction of massive localised lymphoedema of the scrotum with a novel fasciocutaneous flap: a rare case presentation and a review of the literature. J Plast Reconstr Aesthet Surg. 2013;66(2):281–6.PubMedCrossRef
9.
Masia DR, Castus P, Delia G, Casoli V, Martine D. A case of iatrogenic scrotal elephantiasis: reconstruction of the scrotal purse and the cutaneous sleeve of the penis with local skin flaps. Ann Chir Plast Esthet. 2008;53(1):79–83.PubMedCrossRef
10.
Ndoye A, Sylla C, Ba M, Guèye SM, Diagne BA. Point of technique: Management of penile and scrotal elephantiasis. BJU Int. 1999;84(3):362–4.PubMedCrossRef
11.
Tammer ME, Plogmeier K, Schneider W. Chirurgische Therapie des Skrotumödems bei elephantiasis congenita hereditaria (Typ Meige). Urologe A. 2002;41(5):493–5.PubMedCrossRef
12.
13.
Konety BR, Cooper T, Flood HD, Futrell JW: Scrotal elephantiasis associated with hidradenitis suppurativa. Plast Reconstr Surg. 1996;97(6):1243-5.PubMedCrossRef
14.
Zacharakis E, Dudderidge T, Zacharakis E, Ioannidis E. Surgical repair of idiopathic scrotal elephantiasis. South Med J. 2008;101(2):208-10.PubMedCrossRef
15.
Tosun Z, Sutcu M, Guven S, Gurbuz R. Giant scrotal elephantiasis with unknown etiology. Ann Plast Surg. 2005;54(6):685-6.PubMedCrossRef
16.
Huang GK, Hu RQ, Liu ZZ, Pan GP. Microlymphaticovenous anastomosis for treating scrotal elephantiasis. Microsurgery. 2010;6(1):36-9.PubMedCrossRef
17.
Altchek ED, Hecht H. A modification of the standard technique for repair of scrotal elephantiasis: case report. Plast Reconstr Surg. 1977;60(2):284-6.PubMedCrossRef
18.
Bonar P. Scrotectomy for scrotal elephantiasis. Calif Med. 1948;68(3):166.
19.
Alharbi B, Shlash A, Bedaiwi K, Hooti QA, Almohaisen A, Shlash S, et al. Scroto-perineal hidradenitis suppurativa complicated by giant scrotal elephantiasis. Urol Ann. 2015;7(2):265.PubMedPubMedCentralCrossRef
20.
Brotherhood HL, Metcalfe M, Goldenberg L, Pommerville P, Bowman C, Naysmith D. A surgical challenge: Idiopathic scrotal elephantiasis. Can Urol Assoc J. 2014;8(7-8):E500.CrossRef
21.
Dianzani C, Gaspardini F, Persichetti P, Brunetti B, Pizzuti A, Margiotti K, et al. Giant scrotal elephantiasis: an idiopathic case. Int J Immunopathol Pharmacol. 2010;23(1):369-72.PubMedCrossRef
22.
Wiblin J. Account of a recent remarkable Case of Scrotal Elephantiasis, in which the Tumour was removed. Med Chir Trans. 1863;46:1-20.CrossRef
23.
Stefan D, Elke W, Maximilian B, Wieland WF, Wolfgang O. Giant scrotal elephantiasis of inflammatory etiology: a case report. J Med Case Rep. 2007;1:23.
24.
25.
Nelson RA, Alberts GL, Jr KL. Penile and scrotal elephantiasis caused by indolent Chlamydia trachomatis infection. Urology. 2003;61(1):224.PubMedCrossRef
Metadata
Title
Penoscrotal edema: a case report and literature review
Authors
Tian Lin
Yun-Zhi Lin
Yu-Peng Wu
Ting-Ting Lin
Dong-Ning Chen
Yong Wei
Xue-Yi Xue
Ning Xu
Publication date
01-12-2019
Publisher
BioMed Central
Keywords
Edema
Lymphedema
Published in
BMC Urology / Issue 1/2019
Electronic ISSN: 1471-2490
DOI
https://doi.org/10.1186/s12894-019-0456-6

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