World J Mens Health.  2016 Aug;34(2):148-152. 10.5534/wjmh.2016.34.2.148.

Gigantic Suprapubic Lymphedema: A Case Study

• Tanhaeivash R
• Franiel T
• Grimm MO
• Horstmann

• KMID: 2349852
• DOI: http://doi.org/10.5534/wjmh.2016.34.2.148

Abstract

We present the first case study of idiopathic gigantic suprapubic lymphedema and buried penis treated with puboscrotal reconstruction in a patient with initial extreme obesity after an extensive weight reduction (120 kg). Massive localized lymphedema of the suprapubic region should be differentiated from the scrotal type. Severe lymphedema could not resolve on its own and weight reduction does not seem to be helpful in such cases.

Keyword

Abdominoplasty; Adiposity; Elephantiasis; Reconstructive surgical procedures

MeSH Terms

Abdominoplasty
Adiposity
Elephantiasis
Humans
Lymphedema*
Male
Obesity
Penis
Reconstructive Surgical Procedures
Weight Loss

Figure

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  Fig. 1 Ventral aspect of the massive localized lymphedema of the suprapubic region prior to surgery.

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  Fig. 2 The penile orifice and normal-sized testes can be seen after the mass is moved upwards.

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  Fig. 3 A preoperative coronal computed tomography image. Right-pointing thick arrow, an enlarged lymph node; left-pointing arrow, dilated veins; circles, edematous soft tissue; stars, thickened cutis vera.

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  Fig. 4 Surgical steps leading to the resection of the mass.

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  Fig. 5 Postoperative appearance after ellipsoid tissue resection and puboscrotal reconstruction.

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