Denzinger Stefan, Watzlawek Elke, Burger Maximilian, Wieland Wolf F, Otto Wolfgang
Department of Urology, University of Regensburg, Landshuterstraße 65, 93053 Regensburg, Germany.
J Med Case Rep. 2007 Jun 2;1:23. doi: 10.1186/1752-1947-1-23.
Scrotal lymphedema is rare outside endemic filariasis regions in Africa and Asia. It is of variable origin in the western world.
We present a case of a 40-year-old European man with massive elephantiasis of the scrotum attributed to chronic inflammation of the lower urinary tract caused by urinary outlet obstruction and diabetes mellitus. The patient underwent subtotal scrotectomy saving penis, testes and spermatic cords and followed by scrotal reconstruction with adequate cosmetic and functional outcome.
In this report we discuss a rare case of scrotal elephantiasis in an European patient, reflect on the etiology and the diagnostic and therapeutic approaches. Surgery can be successful even in giant scrotal elephantiasis.
阴囊淋巴水肿在非洲和亚洲的地方性丝虫病流行区域以外较为罕见。在西方世界，其病因多样。
我们报告一例40岁欧洲男性，因下尿路梗阻和糖尿病导致慢性炎症，出现阴囊巨大象皮肿。患者接受了保留阴茎、睾丸和精索的阴囊大部分切除术，随后进行阴囊重建，获得了良好的美容和功能效果。
在本报告中，我们讨论了一例欧洲患者罕见的阴囊象皮肿病例，思考了其病因以及诊断和治疗方法。即使是巨大阴囊象皮肿，手术也可能成功。
