PMC5976994_01
(a) Giant hypertrophic skin completely covering the penis. Black arrow indicates penile orifice. (b) Preoperative view of patient with giant penile lymphedema and normal scrotum.
CRIU2018-8598195.001.jpg
PMC5976994_01_CRIU2018-8598195.001.jpg
fig1
A physical examination revealed brown colored hypertrophic skin that was very large (44 cm in length, maximum circumference 50 cm) though painless and completely covering the penis, with only the penile orifice barely observable (Figure 1(a)). A normal scrotum and testes could be identified after lifting the mass (Figure 1(b)).
(a) Intraoperative view of giant penile lymphedema. Note the corpus cavernosa and skin near the shaft of the penis remained intact. (b) Postoperative results. Note that skin from near the penile shaft was used to cover the penis.
CRIU2018-8598195.002.jpg
PMC5976994_01_CRIU2018-8598195.002.jpg
fig2
Foley urethral catheter, surgical excision of the subcutaneous hypertrophic tissues was made with carful haemostasis to expose the corpus cavernosa, that was found to be not deformed, while skin near the shaft of the penis was also found to be normal and used to cover and preserve the penis (Figure 2(a)). Finally, we removed the infiltrated tissue (4.8 kg, 30 x 21 x 10 cm) and penile skin reconstruction was performed using absorbable sutures (Figure 2(b)).