Idiopathic Scrotal Elephantiasis: Case Report of a Rare Occurrence

Idiopathic scrotal elephantiasis is a rare yet physically and psychologically debilitating condition characterized by chronic lymphedema of the scrotum. This case report presents an 18-year-old male with progressive scrotal enlargement over seven years. The patient applied to our clinic due to discomfort and occasional discharge. Clinical examination revealed scrotal edema without systemic involvement. Diagnostic imaging excluded other pathologies. Surgical intervention was planned, and 1.2 kg of excess tissue was meticulously excised while preserving the testes and spermatic cords. No complications were observed during the postoperative recovery period that necessitated secondary surgical intervention.
Treatment options for idiopathic scrotal elephantiasis range from conservative management, such as elevation, compression therapy, and skin care, to surgical interventions, including vascularized lymph node transfer (VLNT) and lymphaticovenous anastomosis (LVA), in addition to tissue excision. This case report aims to underline the significance of early diagnosis, tailored treatment, and comprehensive postoperative care.

Keywords: Idiopathic scrotal elephantiasis, lymphaticovenous anastomosis (LVA), lymphedema, scrotal enlargement, scrotal lymphedema, vascularized lymph node transfer (VLNT).