Reconstructive plastic surgery of genitals in case of gigantic elephantiasis of the external genital organs in man

Introduction. Lymphedema (elephantiasis) of the scrotum is a rare disease. Pathology can be parasitic on the background of filariasis, congenital and secondary, with sexually transmitted infections (STIs) as well as after an injury. The early diagnosis of lymphedema presents great difficulties and in most cases tends to progression and recurrence. As of today, there are no sound recommendations for the treatment of patients with this pathology. Materials and methods. In April 2018 a 21-year-old patient applied to the Department of Oncourology of the RSSPMCOR with complains of an increase in the scrotum to a gigantic size and the inability to maintain hygiene and difficulty in moving. The patient had signs of low mental status during communication. After examination and exclusion of parasitic etiology in this case the patient underwent surgical management. Intervention included phased removal of hypertrophic scrotum tissue followed by reconstructive plastic surgery using patient’s own soft tissues...