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L'éléphantiasis péno-scrotal. A propos d'un cas
Penoscrotal elephantiasis: a case report
Andrologie volume 15, pages 324–327 (2005)
Résumé
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.
Abstract
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.
References
AMARAL F., DREYER G., FIGUEREDO-SILVA J. et al.: Live adult worms detected by ultrasonography in human Bancroftian filariasis. Am. J. Trop. Med. Hyg., 1994, 50: 753–757.
ANDAPAT M.C., MOHAPATRO S.K., PATRO S.K.: Elephantiasis of the penis and scrotum. A review of 350 cases. Am. J. Surg., 1985, 149: 686–690.
APEROS J., ANIGIAN G.: Reconstruction of penile and scrotal lymphedema. Ann. Plast. Surg., 1991, 27: 470–472.
DEVRIES C.R.: The role of the urologist in the treatment and elimination of lymphatic filariasis worldwide. Br. J. Urol., 2002, 89: s37-s43.
DREYER G., SANTOS A., NOROES J., ADDISS D.: Proposed panel of diagnostic criteria, including the use of ultrasound, to refine the concept of endemic normals in lymphatic filariasis. Trop. Med. Int. Health, 1999, 4: 575–579.
FARIS R., HUSSAIN O., EL SETOUHY M., RAMZY R.M., WEIL G.J.: Bancroftian filariasis in Egypt: visualization of adult worms and subclinical lymphatic pathology by scrotal ultrasound. Am. J. Trop. Med. Hyg., 1998, 59: 864–867.
FRANCA A.A., JUNIOR A.N., CUNRATH G.S., RONCHI L.S., NETINHO J.G.: Elefantiase escrotal pos cirurgia e radioterapia. HB Cientifica. 2002, 9: 84–87.
FULMER L.R., FYE C.: Elephantiasis of the scrotum. J. Clin. Ultr., 1982, 10: 143–144.
HOLMAN C.M.J.R., ARNOLD P.G., JURKIEWICZ M.J., WALTON K.N.: Reconstruction of male external genitalia with elephantiasis. Urology, 1977, 10: 476–478.
HORNBERGER B.J., ELMORE J.M., CLAUS G., ROEHRBORN C.G.: Idiopathic scrotal elephantiasis. Urology, 2005, 65: 389.
HUSSEIN O., SETOUHY M.E., AHMED E.S. et al.: Duplex Doppler sonographic assessment of the effects of diethylcarbamazepine and albendazole therapy on adult filarial worms and adjacent host tissues in bancroftian filariasis. Am. J. Trop. Med. Hyg., 2004, 71: 471–477.
KHEDROV L.G.: Reduction perineoplasty for scrotal elephantiasis: a method of surgical reconstruction of the penis and scrotum. J. Urol., 1976, 116: 679–680.
KONETY B.R., COOPER T., FLOOD H.D., FUTRELL J.W.: Scrotal elephantiasis associated with hidradenitis suppurativa. Plast. Recons. Surg., 1996, 97: 1243–1245.
KUEPPER D.: Giant scrotal elephantiasis. Urology, 2005, 65: 389.
MIANNE D., JACOB F.: Pathologie inflammatoire du scrotum. Enc. Med. Chir. Nephrol. Urol., 1999, 18-640-A-10-6.
NDOYE A., SYLLA C., GUEYE M.B.A.S.M., DIAGNE B.A.: Point of technique: Management of penile and scrotal elephantiasis. Br. J. Urol. Int., 1999, 84: 362–364.
NELSON R.A., ALBERTS G.L., KING LE J.R.: Penile and scrotal elephantiasis caused by indolent Chlamydia trachomatis infection. Urology, 2003, 61: 224.
OLLAPALLIL J.J., WATTERS D.A.K.: Surgical management of elephantiasis of male genitalia. Br. J. Urol., 1995, 76: 213–215.
RAGHAVAIAH N.V.: Reconstruction of scrotal and penile skin in elephantiasis. J. Urol., 1977, 118: 541–546.
ROSS J.H., KAY R., YETMAN R.J., ANGERMEIER K.: Primary lymphedema of the genitalia in children and adolescents. J. Urol., 1998, 160: 1485–1489.
SCOTT MCDOUGAL W.: Lymphedema of the external genitalia. J. Urol., 2003, 170: 711–716.
SHENOY R.K., JOHN A., HAMEED S., SUMA T.K., KUMARASWAMI V.: Apparent failure of ultrasonography to detect adult worms of Brugia malayi. Ann. Trop. Med. Parasitol., 2000, 94: 77–82.
SLAMA A., JAIDANE M., ELLEUCH A., BEN SORBA N., YACOUBI M.T., MOSBAH A.F.: Traitement chirurgical d'un éléphantiasis péno-scrotal. Prog. Urol., 2002, 12: 337–339.
TAMMER M.E., PLOGMEIER K., SCHNEIDER W.: Surgical therapy of scrotal oedema in elephantiasis congenita hereditaria (Meige type). Urologe A. 2002, 41: 493–495.
WILLE S., NIESEL T., BREUL J., HARTUNG R.: Elephantiasis of the legs with lichen sclerosis and atrophicus of the penis and scrotum. J. Urol., 1997, 157: 2262.
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Fakhfakh, H., Ketata, H., Bouassida, A. et al. L'éléphantiasis péno-scrotal. A propos d'un cas. Androl. 15, 324–327 (2005). https://doi.org/10.1007/BF03034782
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DOI: https://doi.org/10.1007/BF03034782