Once fibrosis sets in resectional therapy will be needed in most cases. Successful reduction scrotoplasty with acceptable cosmetic results can be obtained in giant scrotal lymphoedemas weighing as large as 32kg as in our case.

A 52-year-old Indian male was presented to the surgical outpatient department with complaints of discomfort in lower abdomen and increased frequency of micturition, occasionally associated with urge incontinence. Patient was experiencing these symptoms, which were progressively increasing for a duration of six months. He did not complain of burning micturition, haematuria and other bowel symptoms. There was no significant past medical history. General physical examination, abdominal exam including per rectal examination were normal.

Honey and Sugar dressings were applied to long standing surgical wounds in two groups comprising 25 patients in each matched for age and comorbidities.Dressings were done once in 3 days .Patients in sugar dressing group had faster healing rate, shorter hospital stay with rapid slough and microbial clearance. Sugar dressing also proved to be cost effective with decreased debridement frequency at the end of the study.

No abstract