Scrotal Lymphedema and its Conservative Treatment: A Rare Complication of Circumcision

Abstract

Lymphedema is defined as an abnormal accumulation of extracellular fluid in the subcutaneous compartment caused by impaired lymphatic drainage. Scrotal lymphedema is a rare condition characterised by swelling of the scrotal skin due to deterioration in lymphatic drainage. Over time, fibrosis may develop in the scrotum and genital malformations that impair the patient's quality of life. Here, we present the first case in our experience of scrotal lymphedema, which occurred in a 3-year child following circumcision, and subsequently was treated successfully with complex decongestive physiotherapy.

Isolated scrotal lymphedema in a 43-year old male patient: A case report

“…Noteworthy risk factors also include congestive heart failure and diuretic use. Clinically, scrotal lymphedema presents as a large, painless, slow-growing soft tissue mass, causing discomfort, ambulation difficulties, and cosmetic concerns, with fibrosis potentially leading to genital malformations impacting daily activities [ 2 , 9 ].…”

“…Swelling may occur in proximal regions or distal extremities. Manifestations include heaviness, pain, skin discoloration, restricted range of motion, and difficulty in ambulation [ 1 , 2 ].…”

“…Scrotal lymphedema, a rare condition, results in swelling of the scrotal skin and subcutaneous tissue due to lymphatic vessel dysplasia or obstruction. Over time, fibrosis develops, impacting the patient's Quality of Life (QOL) [ 2 , 3 ]. First-line management involves a conservative approach, with physiotherapy proving beneficial in the early and milder stages, improving the QOL.…”

A single-stage reconstruction on giant scrotal lymphedema: a case report

“…Scrotal lymphedema is a rare condition characterized by the swelling of the scrotal skin due to deterioration in lymphatic drainage. 1 There are two types of lymphedema, primary and secondary lymphedema. Primary lymphedema is caused by a disturbance in the lymphatic vessel's development due to genetic mutation or idiopathic.…”