Giant scrotal lymphedema (GSL) causes marked physical distress, and has severe cosmetic and psychoso-cioeconomicconsequences, decreasing the quality of life of the sufferer. Excision is often required as medical treatment is insufficient to produce acceptable results. We report surgical management of a case of idiopathic giant scrotal lymphedema. Involved tissue was excised maximally. There was a significant improvement in walking, sitting and squatting, and patient was able toper form his daily activities in a much better way. At one year follow-up there was recurrence, for which further debulking was performed. Patient was satisfied with cosmetic outlook and his physical as well as psychological distress was significantly decreased.
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