@Article{Ważniewicz2026,
journal="Dermatology Review/Przegląd Dermatologiczny",
issn="0033-2526",
volume="113",
number="2",
year="2026",
title="Saxophone Penis as a Rare Consequence of Hidradenitis Suppurativa-associated Penoscrotal Elephantiasis: Two Case Reports and Literature Review",
abstract="           Saxophone        penis is a rare and severe manifestation of penoscrotal elephantiasis, characterized by marked penile deformity resembling a saxophone. It results from chronic lymphatic obstruction and progressive fibrosis secondary to long-lasting inflammation, most commonly in the course of hidradenitis suppurativa. Hidradenitis suppurativa is a chronic inflammatory dermatosis leading to the formation of painful nodules, abscesses, sinus tracts, and scarring, predominantly affecting intertriginous areas such as the axillae, groin, and perineum. We describe 2 cases of saxophone penis secondary to advanced penoscrotal hidradenitis suppurativa. The first patient was a 33-year-old man with a 1.5-year history of untreated disease, presenting with severe penoscrotal lymphedema and penile deformity requiring surgical intervention. The second was a 58-year-old man with a 20-year history of progressive hidradenitis suppurativa and massive penoscrotal involvement. Both patients experienced substantial physical and psychological burden, highlighting the importance of early recognition, appropriate systemic treatment, and multidisciplinary management.      ",
author="Ważniewicz, Sandra
and Głuszak, Paweł
and Jonkisz, Aleksandra
and Łabędź, Nina
and Spałek, Maciej
and Żaba, Ryszard
and Polańska, Adriana",
pages="92--97",
doi="10.5114/dr.2026.163234",
url="http://dx.doi.org/10.5114/dr.2026.163234"
}