Capece Marco, Di Giovanni Angelo, Creta Massimiliano, Giordano Alessandro, D'alterio Carlo, Palmieri Alessandro, Cirigliano Lorenzo, Napolitano Luigi, Mirone Claudia, Orlandino Gianfranco, Celentano Giuseppe, Califano Gianluigi, Cirillo Luigi, Marino Claudio, Fusco Giovanni Maria, Mirone Vincenzo, La Rocca Roberto
Department of Neurosciences, Reproductive Sciences and Odontostomatology, University of Naples Federico II, I-80138 Naples, Italy.
Multidisciplinary Department of Medical, Surgical and Dental Sciences, University of Campania Luigi Vanvitelli, I-80100 Naples, Italy.
Med Int (Lond). 2022 Oct 20;2(6):33. doi: 10.3892/mi.2022.58. eCollection 2022 Nov-Dec.
Massive scrotal elephantiasis is a rare disease that usually requires a surgical approach. Lymphedema of the genitalia can have a different presentation that requires different treatment. The present study describes the case of a 43-year-old Caucasian male patient by scrotal elephantiasis of unknown causes with a buried penis. A novel surgical technique was applied for the treatment of massive scrotal elephantiasis and the authors present this single-center experience. Magnetic resonance imaging revealed the integrity of the corpora cavernosa, the spermatic cords, as well as the testes. The patient underwent a scrotectomy using a 'hanger-shaped incision' followed by scrotal reconstruction to obtain an adequate cosmetic outcome. The surgical approach to this uncommon disease is referred to as a 'hanger-shaped incision'. As demonstrated herein, this novel technique permits the formation of a trapezoidal cavity that allows the reconstruction of a neo-scrotum, a neo-septum and partially restoring the natural appearance of the genitalia.
巨大阴囊象皮肿是一种罕见疾病，通常需要手术治疗。生殖器淋巴水肿可能有不同表现，需要不同治疗方法。本研究描述了一名43岁白种男性患者，患有原因不明的阴囊象皮肿且伴有隐匿阴茎。应用了一种新型手术技术治疗巨大阴囊象皮肿，作者介绍了这一单中心经验。磁共振成像显示阴茎海绵体、精索以及睾丸完整。患者采用“衣架形切口”进行阴囊切除术，随后进行阴囊重建以获得满意的美容效果。这种罕见疾病的手术方法被称为“衣架形切口”。如本文所示，这种新技术可形成一个梯形腔隙，用于重建新阴囊、新阴囊隔并部分恢复生殖器的自然外观。
