Surgical treatment in a case of giant scrotal lymphedema.

OBJECTIVE Scrotal lymphedema (SL) is a rare clinical pathology with multiple etiologies. We report a case of idiopathic giant scrotal lymphedema and review the existing medical literature in Medline from the last ten years. METHODS We report the case of a male patient with a giant scrotal lymphedema (43×40 cm) of unknown etiology developed over four years. RESULTS The patient was treated by scrotal excision and reconstruction with skin graft plasty, with a successful result. CONCLUSIONS Scrotal Lymphedema is a rare entity, especially in industrialized countries. If the lymphedema is severe, surgery is the most appropriate therapeutic option, whatever the cause is. Complete resection up to healthy tissue and surgical reconstruction is the choice. Thin skin grafts are necessary for reconstruction when it affects the entire scrotum.