Abstract
Summary Four cases of lymphœdema of the penis and scrotum are described. In a 3-year-old boy with Milroy's disease and elephantiasis of the penis and scrotum, surgery was postponed because of typhoid fever. In the second patient there was initial secondary lymph stasis in the scrotum, so that operation was not indicated for the time being. The two remaining patients, with extensive secondary penile and scrotal elephantiasis, were operated upon successfully and there was no recurrence of the lymphœdema. complete excision of the diseased skin and subcutaneous tissue is the method of choice for correcting the deformity of elephantiasis of the penis and scrotum. The fascial penis is an ideal bed for deep intermediate skin grafts. The skin of the scrotal neck and, if necessary, a skin flap from the thigh, are the best means to reconstruct the scrotum and cover the testes.
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