Background: It has been estimated that 20% of male population in tropical countries suffer from scrotal 
lymphoedema. However, in industrialized countries, scrotal lymphoedema is secondary to other pathologies 
or iatrogenic interventions, chronic infections, oncologic surgery with or without lymphadenectomy and 
pelvic radiotherapy.
Purpose: To assess our experience in Mansoura Vascular Surgery Unit in surgical treatment of severe scrotal 
lymphoedema. 
Methods: Twelve patients with severe scrotal lymphoedema were operated and followed up during the 
period from August 2009 to July 2012 by partial scrotectomy. 
Results: All patients were followed up between 6 months and 3 years with a mean of 18.08 months. Age of 
studied group range from 25-72 with mean of 40.67 years. Infection rate was 16.66% in the studied group. 
Recurrence rate was reported in one patient 8.33%.
Conclusion: Surgical reduction of the scrotal size is a perfect choice for severe scrotal lymphoedema after 
good surgical planning and choice of the patient.