Recurrent furunculosis as a cause of isolated penile lymphedema: A case report

• 出版年: Journal of Medical Case Reports
• 第一著者: 2-s2.0-77953922490
• フォーマット: 論文
• 言語: English
• 出版事項: 2010
• オンライン･アクセス: https://www.scopus.com/inward/record.uri?eid=2-s2.0-77953922490&doi=10.1186%2f1752-1947-4-196&partnerID=40&md5=63d6de66a1b8177e3ac875ee8aadc252

Introduction. Isolated lymphedema of the penis is extremely rare: combined involvement of the scrotum and penis is the norm. Furunculosis as a cause is not, to our knowledge, previously reported. We present a case of isolated penile lymphedema that responded to excision of lymphedematous tissue and reconstruction with flaps. Case presentation. A 32-year-old Arab man presented with a three-year history of a gradually increasing, painless penile swelling. Our patient's main complaint was non-erectile sexual dysfunction. The swelling was preceded by at least three prior episodes of severe furunculosis at the penile root. He had no other contributory past medical or family history. On examination there was gross penile enlargement, maximally at the mid shaft, associated with thickened skin at the sites of prior furunculosis. The glans and scrotum were normal. Both testes were palpable. Serology for filariasis, and urinary tract ultrasound and computed tomography scan were normal. The clinical diagnosis was lymphedema following recurrent penile furunculosis. At operation the lymphedematous tissues were removed. Closure of the penile shaft was accomplished by bilateral advancement of flaps from both ends of the penis. He resumed normal sexual activity one month after surgery. At 12 months, he had a good cosmetic result, with no signs of recurrence. Conclusions. Furunculosis at the penile root may result in lymphedema confined to the penile shaft, sparing the scrotum. Excision of abnormal tissue and cover with a skin flap gave excellent cosmetic results, and allowed satisfactory sexual activity. © 2010 Al-shaham and Sood; licensee BioMed Central Ltd.