Surgical Correction of Peno-Scrotal Elephantiasis Nostras Verrucosa

Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1

Abstract

Peno-scrotalelephantiasis nostras verrucosa is debilitating syndrome consisting of long standing lymphoedema of the penis and scrotum of non-filarialorigin, cutaneous features and occasional inguinal lymphadenopathy which precede the condition. A 36 year old man presented with several years history of genital swelling that occurred after developing inguinal lymphadenopathy from suspected lymphogranuloma venerum. Patient suffered inter-departmental shuttling with missed diagnoses of first lupus vulgaris and then condylomata acuminata of the penis and scrotum. Following series of incisional biopsy reports, initially upholding lupus vularis, then condylomata accuminata and finally elephantiasis nostras verrucosa, patient had scrotectomy, fulguration of penile shaft lesion, orchidopexy and reconstruction of a neoscrotum. Penoscrotal elephantiasis nostras verrucosa is scarcely reported in the literatures. Surgical correction is the main stay of treatment including excision of the scrotum, penile shaft skin and reconstruction of a neo-scrotum and penile shaft resurfacing.

Authors and Affiliations

Ekpo Rg Otei Oo, Henshaw E Ozinko Mo

Keywords

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