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L'éléphantiasis péno-scrotal. A propos d'un cas

Penoscrotal elephantiasis: a case report

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

  1. 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.

    PubMed  CAS  Google Scholar 

  2. 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.

    Article  Google Scholar 

  3. APEROS J., ANIGIAN G.: Reconstruction of penile and scrotal lymphedema. Ann. Plast. Surg., 1991, 27: 470–472.

    Google Scholar 

  4. DEVRIES C.R.: The role of the urologist in the treatment and elimination of lymphatic filariasis worldwide. Br. J. Urol., 2002, 89: s37-s43.

    Google Scholar 

  5. 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.

    Article  PubMed  CAS  Google Scholar 

  6. 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.

    PubMed  CAS  Google Scholar 

  7. 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.

    Google Scholar 

  8. FULMER L.R., FYE C.: Elephantiasis of the scrotum. J. Clin. Ultr., 1982, 10: 143–144.

    Article  CAS  Google Scholar 

  9. 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.

    Article  Google Scholar 

  10. HORNBERGER B.J., ELMORE J.M., CLAUS G., ROEHRBORN C.G.: Idiopathic scrotal elephantiasis. Urology, 2005, 65: 389.

    Article  PubMed  Google Scholar 

  11. 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.

    PubMed  Google Scholar 

  12. KHEDROV L.G.: Reduction perineoplasty for scrotal elephantiasis: a method of surgical reconstruction of the penis and scrotum. J. Urol., 1976, 116: 679–680.

    Google Scholar 

  13. KONETY B.R., COOPER T., FLOOD H.D., FUTRELL J.W.: Scrotal elephantiasis associated with hidradenitis suppurativa. Plast. Recons. Surg., 1996, 97: 1243–1245.

    Article  CAS  Google Scholar 

  14. KUEPPER D.: Giant scrotal elephantiasis. Urology, 2005, 65: 389.

    Article  PubMed  Google Scholar 

  15. MIANNE D., JACOB F.: Pathologie inflammatoire du scrotum. Enc. Med. Chir. Nephrol. Urol., 1999, 18-640-A-10-6.

  16. 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.

    CAS  Google Scholar 

  17. NELSON R.A., ALBERTS G.L., KING LE J.R.: Penile and scrotal elephantiasis caused by indolent Chlamydia trachomatis infection. Urology, 2003, 61: 224.

    Article  PubMed  Google Scholar 

  18. OLLAPALLIL J.J., WATTERS D.A.K.: Surgical management of elephantiasis of male genitalia. Br. J. Urol., 1995, 76: 213–215.

    Article  PubMed  CAS  Google Scholar 

  19. RAGHAVAIAH N.V.: Reconstruction of scrotal and penile skin in elephantiasis. J. Urol., 1977, 118: 541–546.

    Google Scholar 

  20. 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.

    Article  PubMed  CAS  Google Scholar 

  21. SCOTT MCDOUGAL W.: Lymphedema of the external genitalia. J. Urol., 2003, 170: 711–716.

    Article  PubMed  Google Scholar 

  22. 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.

    Article  PubMed  CAS  Google Scholar 

  23. 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.

    PubMed  Google Scholar 

  24. TAMMER M.E., PLOGMEIER K., SCHNEIDER W.: Surgical therapy of scrotal oedema in elephantiasis congenita hereditaria (Meige type). Urologe A. 2002, 41: 493–495.

    Article  PubMed  CAS  Google Scholar 

  25. 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.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Hamadi Fakhfakh.

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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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