How much can a man carry? Penoscrotal elephantiasis is a debilitating syndrome. This is a case report of a patient with giant genital elephantiasis secondary to long-standing lymphogranuloma venereum infection in Ethiopia. Complete surgical resection of the pathologic tissue and penile reconstruction was undertaken with good cosmetic and functional results.
"lymphogranuloma venereum or filarial infestation with Wuchereria bancrofti. Scrotal elephantiasis is extremely rare outside endemic regions in Africa and India [1,2]. Occasionally it has been attributed to radiotherapy, neoplasm and lymphadenectomy [3,4]. "
[Show abstract][Hide abstract] ABSTRACT: Scrotal lymphedema is rare outside endemic filariasis regions in Africa and Asia. It is of variable origin in the western world.
We present a case of a 40-year-old European man with massive elephantiasis of the scrotum attributed to chronic inflammation of the lower urinary tract caused by urinary outlet obstruction and diabetes mellitus. The patient underwent subtotal scrotectomy saving penis, testes and spermatic cords and followed by scrotal reconstruction with adequate cosmetic and functional outcome.
In this report we discuss a rare case of scrotal elephantiasis in an European patient, reflect on the etiology and the diagnostic and therapeutic approaches. Surgery can be successful even in giant scrotal elephantiasis.
Journal of Medical Case Reports 02/2007; 1(1):23. DOI:10.1186/1752-1947-1-23
[Show abstract][Hide abstract] ABSTRACT: A 45 years male beggar admitted to this hospital with a huge swelling of scrotum and penis and bipedal nonpitting edema. This swelling was gradually increasing which hampered his personal life. He was previously diagnosed as a case of filarial scrotum and penis. He took diethylcarbamazine (DEC) for 4 years. CFT for filaria was strongly positive but microfilariae in the blood were not detected even after provocative test. Total 15 kg of scrotal penile skin was removed and reconstructed by trunk skin flaps. (J Bangladesh Coll Phys Surg 2009; 27: 173-176)
[Show abstract][Hide abstract] ABSTRACT: Le lymphoedème scrotal ou éléphantiasis scrotal est une pathologie rare en dehors des zones d'endémie filarienne. Nous rapportons
un cas d'éléphantiasis scrotal idiopathique chez un patient âgé de 52 ans. Le traitement a consisté en une résection chirurgicale
du tissu pathologique et une reconstruction scrotale, avec un bon résultat esthétique.
Massive scrotal lymphoedema with gross genital deformation is called penoscrotal elephantiasis. It is a rare syndrome outside
of filariasis endemic regions. It is usually idiopathic and rarely congenital or secondary. It is both physically disabling
and emotionally distressing for the patient. Surgical treatment is often necessary. The authors report a case of a patient
with penoscrotal elephantiasis in whom no aetiology could be found. Complete surgical resection of the diseased tissue and
scrotum and penile reconstruction were performed with good cosmetic and functional results.
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