PMC4880436_01
A - Giant edema of the scrotum and thickened redundant foreskin; B - First surgery, dissection of the scrotum; C and D - A transverse incision, dividing the anterior two-thirds and the posterior one-third of the scrotum, accompanied by the drainage of the perirectal lymphatics; E - Postoperative result of the first surgery; note the skin flap and negative pressure drainage of the scrotum; F - Final result after the fourth surgical intervention.
autopsy-06-01057-g01.jpg
PMC4880436_01_autopsy-06-01057-g01.jpg
g01
The scrotum measured 144 cm in circumference and 46 cm in length (Figure 1A). Then skin flaps were performed for covering the 20 cm denuded area (Figure 1B). A pediculated flap measuring 20 cm in length was created (Figure 1C, D). This took approximately 1 week (Figure 1E).