Journal of Surgery

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Penoscrotal Elephantiasis, Diagnosis and Therapeutic Care: Case Series and Literature Review

Received: 26 March 2014    Accepted: 13 May 2014    Published: 20 June 2014
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Abstract

Background: Penoscrotal Elephantiasis is a rare disease outside areas where filariasis is endemic. It is a benign disease but can become disabling in that it can make sexual relations difficult and sometimes even affect urination. We report four cases of primitive penoscrotal elephantiasis treated with complete surgical resection of pathological tissue and penoscrotal reconstruction, with good functional and aesthetic results. We update, through our own experience and a review of the literature, aspects of the diagnostic and therapeutic care of penoscrotal elephantiasis.

DOI 10.11648/j.js.20140203.13
Published in Journal of Surgery (Volume 2, Issue 3, June 2014)
Page(s) 46-49
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Elephantiasis, Filariasis, Penoscrotal Reconstruction

References
[1] Ollapallil JJ, Watters DA (1995) surgical management of elephantiasis of male genitalia. Br J Urol 76:213–215
[2] Skoog SJ (1986) verrucous elephantiasis of the scrotum: an unusual variant of genital lymphedema. J Urol 135:799–800
[3] Dandapat MC, Mohapatro SK, Patro SK (1985) Elephantiasis of the penis and scrotum. A review of 350 cases. Am J Surg 149:686–690
[4] Khedroo LG (1976) Reduction perineoplasty for scrotal elephantiasis: a method of surgical reconstruction of the penis and scrotum. J Urol 116:679–680
[5] Apesos J, Anigian G (1991) Reconstruction of penile and scrotal lymphedema. Ann Plast Surg 27:570–573
[6] Sylla C, Ndoye A, Ba M, et al (1998) Penile and scrotal elephantiasis in Senegal. Afr J Urol 4:36–41
[7] Elsahy NI (1976) Syphilitic elephantiasis of the penis and scrotum. Plast Reconstr Surg 57:601–603
[8] Nelson RA, Alberts GL, King LE Jr (2003) Penile and scrotal elephantiasis caused by indolent Chlamydia trachomatis infection. Urology 61:224
[9] Ross JH, Kay R, Yetman RJ, Angermeier K (1998) Primary lymphedema of the genitalia in children and adolescents. J Urol 160:1485–1489
[10] Mianne D, Jacob F (1999) Pathologie inflammatoire du scrotum. EMC Urologie 18-640-A-10
[11] Slama A, Jaidane M, Elleuch A, et al (2002) Traitement chirurgical d’un éléphantiasis pénoscrotal. Prog Urol 12:337–339
[12] Arteaga C, Salamand P, Mianne D, et al (1997) Aspects IRM de l’éléphantiasis scrotal filarien : corrélations IRM-anatomopathologiques. J Radiol 78:1285–1287
[13] Samsoen M, Deschler JM, Servelle M, et al (1981) Le lymphoedème pénoscrotal : deux observations. Ann Dermatol Venerol 108:541–546
[14] Faris S, Hussain O, El Setouhy M, et al (1998) Bancroftian filariasis in Egypt: visualisation of adult worms and subclinical lymphatology by scrotal ultrasound. Am J Trop Med Hyg 56:884–887
[15] Wille S, Niesel T, Breul J, Hartung R (1997) Elephantiasis of the legs with lichen sclerosus and atrophicus of the penis and scrotum. J Urol 157:2262
[16] Ndoye A, Sylla C, Ba M, et al (1999) Point of technique: management of penile and scrotal elephantiasis. BJU Int 84(3):362–364
[17] Vignes S, Trevidic P (2005) Lymphoedèmes pénoscroteaux : étude rétrospective de 33 cas. Ann Dermatol Venereol 132:21–25
[18] Holman CM Jr, Arnold PG, Jurkiewicz MJ, Walton KN (1977) Reconstruction of male external genitalia with elephantiasis. Urology 10:576–578
[19] Konety BR, Cooper T, Flood HD, Futrell JW (1996) Scrotal elephantiasis associated with hidradenitis suppurativa. Plast Reconstr Surg 97:1243–1245
Author Information
  • Department of Anatomy, Faculty of Medicine and Pharmacy of FEZ, MOROCCO

  • Department of urology, Hassan II University Hospital Center -FEZ, MOROCCO

  • Department of urology, Hassan II University Hospital Center -FEZ, MOROCCO

  • Department of urology, Hassan II University Hospital Center -FEZ, MOROCCO

  • Department of urology, Hassan II University Hospital Center -FEZ, MOROCCO

  • Department of urology, Hassan II University Hospital Center -FEZ, MOROCCO

  • Department of urology, Hassan II University Hospital Center -FEZ, MOROCCO

  • Department of urology, Hassan II University Hospital Center -FEZ, MOROCCO

  • Department of urology, Hassan II University Hospital Center -FEZ, MOROCCO

Cite This Article
  • APA Style

    S. Mellas, O. Riyach, M. Ahsaini, Y. Ahallal, M. F. Tazi, et al. (2014). Penoscrotal Elephantiasis, Diagnosis and Therapeutic Care: Case Series and Literature Review. Journal of Surgery, 2(3), 46-49. https://doi.org/10.11648/j.js.20140203.13

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    ACS Style

    S. Mellas; O. Riyach; M. Ahsaini; Y. Ahallal; M. F. Tazi, et al. Penoscrotal Elephantiasis, Diagnosis and Therapeutic Care: Case Series and Literature Review. J. Surg. 2014, 2(3), 46-49. doi: 10.11648/j.js.20140203.13

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    AMA Style

    S. Mellas, O. Riyach, M. Ahsaini, Y. Ahallal, M. F. Tazi, et al. Penoscrotal Elephantiasis, Diagnosis and Therapeutic Care: Case Series and Literature Review. J Surg. 2014;2(3):46-49. doi: 10.11648/j.js.20140203.13

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  • @article{10.11648/j.js.20140203.13,
      author = {S. Mellas and O. Riyach and M. Ahsaini and Y. Ahallal and M. F. Tazi and J. E. El Ammari and A. Khallouk and M. J. El Fassi and M. H. Farih},
      title = {Penoscrotal Elephantiasis, Diagnosis and Therapeutic Care: Case Series and Literature Review},
      journal = {Journal of Surgery},
      volume = {2},
      number = {3},
      pages = {46-49},
      doi = {10.11648/j.js.20140203.13},
      url = {https://doi.org/10.11648/j.js.20140203.13},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.js.20140203.13},
      abstract = {Background: Penoscrotal Elephantiasis is a rare disease outside areas where filariasis is endemic. It is a benign disease but can become disabling in that it can make sexual relations difficult and sometimes even affect urination. We report four cases of primitive penoscrotal elephantiasis treated with complete surgical resection of pathological tissue and penoscrotal reconstruction, with good functional and aesthetic results. We update, through our own experience and a review of the literature, aspects of the diagnostic and therapeutic care of penoscrotal elephantiasis.},
     year = {2014}
    }
    

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    AU  - S. Mellas
    AU  - O. Riyach
    AU  - M. Ahsaini
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    AB  - Background: Penoscrotal Elephantiasis is a rare disease outside areas where filariasis is endemic. It is a benign disease but can become disabling in that it can make sexual relations difficult and sometimes even affect urination. We report four cases of primitive penoscrotal elephantiasis treated with complete surgical resection of pathological tissue and penoscrotal reconstruction, with good functional and aesthetic results. We update, through our own experience and a review of the literature, aspects of the diagnostic and therapeutic care of penoscrotal elephantiasis.
    VL  - 2
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