Background: Lymphedema is emotionally frustrating
disease due to its progressive course and no definite curative
methods of treatment, it was found that lymphedema results
from local and/or systemic failure of the lymphatic transport
system, and according to its cause and onset of lymphedema
it is classified into primary and secondary lymphedema.
Treatment methods of scrotal lymphedema and reconstruction
were limited in the literature to lymphangioplasty or direct
excision of the involved tissue and local tissue reconstruction.
The current study present patients with established scrotal
lymphedema and the way of surgical management in excision
and reconstruction.
Patients and Methods: Ten male patients were involved
in the study, their age was ranging between 25-60 years, three
patients were primary lymphedema, seven patients were
secondary lymphedema.
Results: Patients in the study were followed-up postoperatively
for a minimum 6-month period, it was found that a
clear improvement of the aspect of the external genitalia and
subsequent improvement of ambulation, hygiene, and ability
to void in the standing position occurred for all patients.
Conclusion: The procedure is effective giving good results
with no major complications were recorded, the technique
based on anatomical background that is why recurrence was
not recorded.