Giant Scrotal lymphoedema is rare even in region endemic for
filariasis. Recently McDougal presented classification1 ofthe causes
of lymphoedema of the external genitalia. Massive scrotal lymphoedema
sometimes called Scrotal elephantiasis causes immense
physical as well as emotional distress to the patients. Scrotal elephantiasis,
or massive scrotal lymphoedema, is a disease caused by
obstruction, aplasia, or hypoplasia of the lymphatic vessels draining
the scrotum. It can be either congenital or acquired in nature,
with the most common acquired etiology being infection, mainly
lymphogranuloma venereum or filarial infestation with Wuchereria
bancrofti. While the etiology of lymphoedema does influence
the management strategy, once fibrosis sets in resectional therapy
will be needed in most cases