Zacharakis Evangelos, Dudderidge Tim, Zacharakis Emmanouil, Ioannidis Evangelos
Second Department of Urology, Aristotle University of Thessaloniki, Papageorgiou General Teaching Hospital, Thessaloniki, Greece.
South Med J. 2008 Feb;101(2):208-10. doi: 10.1097/SMJ.0b013e318161290a.
Scrotal lymphedema (scrotal elephantiasis) is uncommon outside of filariasis endemic regions. We present a case of a 65-year-old with idiopathic lymphedema of the scrotum and functional impairment of the penis. The patient underwent surgical excision of the edematous subcutaneous tissues and plastic reconstruction of his penis and scrotum. Three years later, the patient showed no signs of local recurrence, had complete restoration of urinary and sexual function and was extremely satisfied with the result. Surgical management was an effective strategy in the management of scrotal lymphedema in this case.
阴囊淋巴水肿（阴囊象皮肿）在丝虫病流行地区以外并不常见。我们报告一例65岁患有特发性阴囊淋巴水肿及阴茎功能障碍的患者。该患者接受了阴囊水肿皮下组织的手术切除以及阴茎和阴囊的整形重建。三年后，患者无局部复发迹象，排尿和性功能完全恢复，对结果非常满意。在该病例中，手术治疗是阴囊淋巴水肿治疗的有效策略。
