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Case Reports
. 2016 Jul 18;2016(7):rjw127.
doi: 10.1093/jscr/rjw127.

Lymphoedema of the penis and scrotum as a sequela of chronic skin infection

Soh Nishimoto  1 , Masato Kinoshita  2 , Yuko Miyazaki  2 , Kenichiro Kawai  2 , Masao Kakibuchi  2
Affiliations
Case Reports

Lymphoedema of the penis and scrotum as a sequela of chronic skin infection

Soh Nishimoto et al. J Surg Case Rep. .

Abstract

A Japanese male patient presented with an enormously disfigured penis and scrotum. The penis was swollen and distorted rightward, and the skin was hard and lumpy. The patient had had a subdermal abscess for 6 years. The current condition was considered secondary lymphoedema of the penis and scrotum resulting from chronic skin infection. Wide excision of the affected area with bilateral inguinal lymph node dissection were performed. The degloved penile shaft and scrotum were covered with skin grafts, and a satisfactory result was obtained.

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Figures

Figure 1:
Figure 1:
A 48-year-old man presented with a disfigured penis and scrotum.
Figure 2:
Figure 2:
(A and B) Pre-surgical view of the genital area on the table.
Figure 3:
Figure 3:
After the penis and scrotum were degloved.
Figure 4:
Figure 4:
The resected specimen and cross-section. It measured 25 × 30 × 20 cm and weighed 3.6 kg.
Figure 5:
Figure 5:
The penile shaft was covered with a sheet skin graft. The scrotum was covered with a meshed skin graft.
Figure 6:
Figure 6:
(A and B) One year after the surgery.
See this image and copyright information in PMC

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