Bilateral Scrotal Flaps: A Novel Ideain the Management of Massive Scrotal Lymphoedema

Abstract

Massive Scrotal lymphoedema is a debilitating condition that could result in both psychological and physical trauma to the patient. Irrespective of the cause of this condition, surgery remains the cornerstone in its management. A variety of surgical procedures have been described with varied degree of success. A total of eight patients with massive scrotal lymphoedema of ages between 15 and 60 years were managed by the authors. The mean excision of the scrotal tissue was 5.7 kilogrammes. All patients had post excision defect reconstructed with bilateral scrotal flaps. No skin grafts were utilized in any patient. They all healed well without any complications and were able to resume to their normal functions within nine weeks. No recurrence was noted at two years of follow up. Bilateral scrotal flap is an effective method of managing massive scrotally mphoedema. It allows for massive removal of scrotal tissue and primary repair of the defect using scrotal tissue that allows for early return to work and sexual activities. The complications are minimal and there is high patient satisfaction.

Giant Scrotal Lymphoedema: A Case Series

“…Lymphaticovenular anastomosis [ 9 ] can be performed in cases where fibrosis is not evident; however, it demands surgical expertise as well as has limited success rates. In conditions where fibrosis has set in, debulking surgery (also called reduction scrotoplasty) is the standard of care [ 10 ] and yields acceptable post-operative results.…”