Surgical treatment of penoscrotal lymphedema in a patient with Milroy’s disease: case report

ABSTRACT

Introduction:

Milroy disease manifests itself as lymphedema of the lower limbs and genital region, which causes physical and social damage.

Case Report:

A case of severe-scrotal lymphedema in a patient with Milroy disease. Surgical resection of the affected tissue and reconstruction with local flaps and skin graft were performed.

Discussion:

Milroy disease is a rare autosomal dominant disease. The clinical presentation is progressive and results from hypoplasia of the lymphatic vessels of the lower limbs. Treatment in advanced cases is mainly surgical.

Conclusion:

In the case of a patient with Milroy disease and severe penoscrotal lymphedema, surgical treatment is a good option. The use of parascrotal flaps for scrotoplasty associated with a graft to recover the penis provides a good functional result.

Keywords:
Lymphedema; Scrotum; Reconstructive surgical procedures; Urologic surgical procedures; male; Genital diseases, male; Congenital abnormalities