Elephantiasis of Penis and Scrotum

Lymphedema of penis and scrotum is rarely seen in countries in which filariasis is not endemic. The abnormal accumulation of lymphatic fluid in subcutaneous tissue of penis and scrotum could lead to swelling, pain, dysuria, and sexual dysfunction (impotency and erectile dysfunction). Lymphedema may be idiopathic or secondary to inflammation, surgery, malignancies, trauma, radiation, hypoproteinemia, and other medical disorders. Lymphatic obstruction is limited to penis and scrotum and is not seen in adjacent organs such as lower extremities, abdomen, and buttock. Regardless of the cause of scrotal and penile elephantiasis, this disease can lead to physical and spiritual weakness and its treatment is difficult particularly in the aged.