Surgical treatment of penoscrotal lymphedema with Re-implantation of the testicles in the thigh

ABSTRACT

Lymphedema of the penis and scrotum, regardless of its etiology, is determined by reduced lymphatic flow from the penis and scrotum with subsequent enlargement. The clinical course of this condition is characterized by extreme discomfort for patients, with limitation of local hygiene, ambulation and sexual intercourse. The treatment of lymphedema of the penis and scrotum is by removing affected tissues and correcting the penoscrotal region. This presents a case of huge penoscrotal lymphedema; severe penile fibrosis, recurrent urinary tract infections and a non healthy perineal skin. After complete resection of the affected tissues, it was difficult to reconstruct the scrotum, so the operation was completed by re-implanting the testicles. It was conclude that the modified Charles procedure for the treatment of penoscrotal lymphedema is easily reproducible and allows better cosmetic results in the affected area with remarkable improvement in quality of life