Scrotal Lymphedema

For five years, Wesley Warren suffered with an ever-growing scrotum, which eventually reached more than 132 pounds, following an injury to the area. Antibiotics were unable to reduce the swelling of the tissue surrounding Wesley’s testicles, and he sought desperately for a surgeon who could remove the excess tissue without damaging his penis and testicles. Wesley finally met surgeon Dr. Joel Gelman, who came to the rescue.

Dr. Gelman diagnosed Wesley with scrotal lymphedema, a condition in which tissue accumulates outside of the testicles, causing swelling. In Wesley’s case, the swelling continued to the point where his scrotum was the size of a beach ball extending down to his ankles. Dr. Gelman was able to successfully remove the excess tissue in Wesley's scrotum, leaving his testicles and penis fully intact and his fertility unaffected.

Wesley joins the show and describes his experience dealing with a unique medical condition and his difficulty in finding a doctor who could help him.

“That’s why I refer to [Dr. Gelman] as my miracle doctor,” Wesley says. “He’s supposedly one of only about a dozen surgeons in the entire country that specializes in doing this type of surgery, whereby the penis and testicles can be saved during the course of surgery, and if you are a man, that’s important.”

Common causes
The cause of scrotal lymphedema is unknown, but the condition often is linked to morbid obesity.

Common symptoms:
• Scrotum becomes extremely large as lymph fluid and tissue accumulates.
• The skin of the scrotum becomes very bumpy and irregular. 

Treatment options
The disorder is best treated with surgery to remove the mass of tissue. In some cases, skin grafting may be required, according to The Center for Reconstructive Urology, where Dr. Gelman is the director.

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