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L’éléphantiasis pénoscrotal, diagnostic et prise en charge: à propos de trois cas

Penoscrotal elephantiasis, diagnosis and therapeutic care: three observations

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Résumé

L’éléphantiasis pénoscrotal est une pathologie rare en dehors des pays d’endémie filarienne. C’est une pathologie bénigne, mais qui peut devenir handicapante en gênant le rapport sexuel et parfois même la miction. Nous rapportons trois cas d’éléphantiasis pénoscrotal primitif, traités par une résection chirurgicale complète du tissu pathologique et une reconstruction pénoscrotale, avec un bon résultat fonctionnel et esthétique. Nous mettons le point, à travers notre expérience et une revue de la littérature, sur les aspects diagnostiques et la prise en charge thérapeutique de l’éléphantiasis pénoscrotal.

Abstract

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 three 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.

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Correspondence to M. F. Tazi or S. Mellas.

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Tazi, M.F., Mellas, S., Ahallal, Y. et al. L’éléphantiasis pénoscrotal, diagnostic et prise en charge: à propos de trois cas. Basic Clin. Androl. 19, 108–112 (2009) doi:10.1007/s12610-009-0020-4

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Mots clés

  • Éléphantiasis
  • Lymphœdème chronique
  • Pénis
  • Scrotum

Keywords

  • Elephantiasis
  • Chronic lymphedema
  • Penis
  • Scrotum