García-Tutor E, Botellé del Hierro J, San Martín Maya A, Castro García J, España A, Fernández Montero J, Robles García JE. Surgical treatment of penile lymphedema associated with hidradenitis suppurativa. Actas Urol Esp. 2005 May;29(5):519-22.
Penoscrotal lymphedema is a rare disease in the developed countries, although it
is relatively frequent in tropical countries. The most common cause is
filariasis, although in our practice usually is associate to neoplasic and
inflammatory processes, surgery, radiotherapy, hidroelectrolitic disbalances and
idiopathic. We present a 22 years old patient with penoscrotal lymphedema due to
hidradenitis suppurativa. After unsuccessful medical treatment, was performed a
total excision of the penile skin and subcutaneous tissue to Buck's fascia. Split
thickness skin grafts were used to cover the defect. Even medical management of
penoscrotal lymphedema is not effective for most patients, surgery is a safe and
effective procedure that gives excellent functional and cosmetic results.