‘Hanger‑shaped’ scrotectomy: A novel technique for the management of penoscrotal lymphedema: A case report
Affiliations: Department of Neurosciences, Reproductive Sciences and Odontostomatology, University of Naples Federico II, I‑80138 Naples, Italy, Multidisciplinary Department of Medical, Surgical and Dental Sciences, University of Campania Luigi Vanvitelli, I‑80100 Naples, Italy
- Published online on: October 20, 2022 https://doi.org/10.3892/mi.2022.58
- Article Number: 33
Copyright: © Capece et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
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Massive scrotal elephantiasis is a rare disease that usually requires a surgical approach. Lymphedema of the genitalia can have a different presentation that requires different treatment. The present study describes the case of a 43‑year‑old Caucasian male patient by scrotal elephantiasis of unknown causes with a buried penis. A novel surgical technique was applied for the treatment of massive scrotal elephantiasis and the authors present this single‑center experience. Magnetic resonance imaging revealed the integrity of the corpora cavernosa, the spermatic cords, as well as the testes. The patient underwent a scrotectomy using a ‘hanger‑shaped incision’ followed by scrotal reconstruction to obtain an adequate cosmetic outcome. The surgical approach to this uncommon disease is referred to as a ‘hanger‑shaped incision’. As demonstrated herein, this novel technique permits the formation of a trapezoidal cavity that allows the reconstruction of a neo‑scrotum, a neo‑septum and partially restoring the natural appearance of the genitalia.