Highlights • Massive penoscrotal lymphedema is an aggressive type of lymphedema with great functional impairment for the patient.• The treatment of this type of lesion is eminently surgical, requiring ablative… Click to show full abstract
Highlights • Massive penoscrotal lymphedema is an aggressive type of lymphedema with great functional impairment for the patient.• The treatment of this type of lesion is eminently surgical, requiring ablative surgery.• Our technique consists of a posterior scrotal flap and a split-thickness skin graft for penis’ body reconstruction.• The key maneuver to avoid retraction of the penis is Z-plasty in the topography of the median raphe.
               
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