Surgical treatment of a penoscrotal massive localized lymphe
Massive localized lymphedema is an aggressive type of lymphedema that causes great functional impairment for the patient, depriving from one’s basic life activities. The treatment of this type of lesion is eminently surgical, requiring ablative surgery (complete surgical resection of the lesion), but the possible techniques not always provide a good functional result.

International Journal of Surgery case reports reported a case of a penoscrotal massive lymphedema treated by our Body Contour Group/Plastic surgery department of our institute. We performed the resection of the giant penoscrotal lesion, used a posterior scrotal flap for defect’s reconstruction and a split-thickness skin graft for penis’ body reconstruction, closed with Z-plasty.

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