Challenges and solutions in the treatment of penoscrotal lymphedema: a case analysis

Challenges and solutions in the treatment of penoscrotal lymphedema: a case analysis

Mc.Giver Zevallos-Rebolledo 1 , Pedro E. Castilo-Chirinos 1

1 Servicio de Urología, Hospital Nacional Arzobispo Loayza, Lima, Perú

*Correspondence: Mc.Giver Zevallos-Rebolledo. Email: mogiverzevallos@gmail.com

Abstract

Introduction: Penoscrotal lymphedema is an uncommon condition that can cause significant deformities and functional limitations. Its main global cause is filarial infestation, although in non-endemic regions, secondary causes include surgeries and radiotherapy.Clinical case: We present the case of a 31-year-old male patient with a progressive increase in scrotal volume, reaching dimensions of 31 cm in height and 28 cm in width, accompanied by ulcerative lesions. After imaging studies, a surgical intervention was performed that included resection of scrotal tissue and reconstruction with a fasciocutaneous flap. Although the initial evolution was favorable, the patient experienced complications that required a second surgery.

Conclusion: This case highlights the importance of surgical treatment in penoscrotal lymphedema, especially in advanced cases, and contributes to the limited literature on this pathology in Peru.

Keywords: Lymphedema; Skin grafts; Male genitals

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