[Giant scrotal lymphedema].

OBJECTIVE

To report the case of a patient with long-term giant genital lymphedema as a consequence of partial penectomy with bilateral inguinal lymphadenectomy 26 years before.

METHODS

58-year-old male patient consulting for genital volume increase (penis and scrotum). Diagnostic tests were performed and surgery was indicated.

RESULTS

Complete bilateral scrotal excision including testicles and complete amputation of the penile remnant were carried out. Urethra was anastomosed to skin in the root of the scrotum. Post-operative outcome was satisfactory.

CONCLUSIONS

Genital lymphedema is a disease associated with severe aesthetic and psychological disorders. The present case demonstrates that these patients may be rehabilitated.