Skin graft reconstruction of chronic genital lymphedema

Objectives. We present a simple, reliable method of scrotal and penile reconstruction yielding satisfactory cosmetic and functional results for patients with disabling chronic genital lymphedema. Methods. Nine patients were treated with wide excision of the affected genital skin and subsequent coverage of exposed areas with split-thickness skin grafts in a single-stage procedure. Results. All patients have had excellent cosmetic results without recurrence of genital lymphedema or compromise of sexual function postoperatively. Conclusions. Single-stage reconstruction for idiopathic genital lymphedema by radical skin excision and split-thickness skin grafting provides gratifying functional and cosmetic results.