since how long ? and whether its onset was acute or gradual, associated with pruritus and itching ?? what are the findings on physical examination, specially the other palpable LNn (axillary, Neck, virchow s .....U/S exam of scrotum and condition of Testes, routine blood work up CBC, ESR, LFT,

3 months gradual onset no itching, no palpable LN. Blood tests normal

Reduction scrotplasty can be advocated in idiopathic scrotal elephantiasis

http://ispub.com/journal/the-internet-journal-of-urology/volume-5-number-1/giant-scrotal-and-penile-elephantiasis-of-idiopathic-etiology-a-case-report.html