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Surgical management of extensive penoscrotal lymphoedema. (a) Extensive penoscrotal lymphoedema. (b) After the isolation of cords and shaft, all the lymphoedematous tissue is excised. (c) The shaft is covered using the inverted inner preputial layer, which is not affected by the lymphoedema, and a FTSG harvested from a non-hair bearing area. (d) The final result after 6 months. FTSG, full-thickness skin graft.
