RESEARCH ARTICLE


Chronic Idiopathic Penile Edema: Three Cases and a Review of the Literature



L. Raty1, V. Failla1, R. Andrianne2, M. Fillet2, D. Waltregny2, A. F. Nikkels*, 1
1 Departments of Dermatology, CHU du Sart Tilman, University of Liège, Belgium
2 Departments of Urology, CHU du Sart Tilman, University of Liège, Belgium


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Creative Commons License
© 2011 Raty et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Dermatology, University Hospital Center, University of Liège, B-4000 Liège, Belgium; Tel: +32 4 366 7232; Fax: +32 4 366 7234; E-mail: af.nikkels@chu.ulg.ac.be


Abstract

Chronic idiopathic penile edema (CIPE) is an exceptional entity with disabling persistent lymphedema of the penis, affecting accessorily the scrotum and the pubis. The onset presents with recurrent swelling of the external genitalia, regressing spontaneously. After 2-3 years the swelling becomes progressively persistent. Mictional and erectile dysfunctions are not uncommon. A thorough work-up including RX, ultrasound examination, CT scanning, MRI imaging, serology and extensive blood testing should be performed to exclude underlying causes, including neoplastic, infectious, vascular and inflammatory diseases. CIPE is associated with significant psychological and functional impact. Surgical correction is the sole therapeutic option. Three patients with CIPE and a review of the literature are presented in order to increase awareness of this rare condition.

Keywords: Lymphedema, male external genitalia.