Elephantiasis of the external male genitalia

M., 35 years old, with dementia syndrome, was admitted on 26/XII 1967 with complaints of a sharp increase in the penis and scrotum, making it difficult to urinate and walk (Fig. 1). He has been ill since 1946, when he first suffered erysipelas of the scrotum and penis, subsequently recurring 2-3 times annually. After erysipelas, the scrotum and penis began to swell and increase from year to year. For a long time, but unsuccessfully, he was treated in a district hospital. Due to the futility of conservative therapy, he entered the urological department of the Republican Hospital for surgical treatment.