Infectious etiologies of genital elephantiasis outside of filariasis endemic regions: a case report

African Journal of Urology

Youssef Kharbach¹  Zakaria Bakali Issaoui¹  Abdelhak Khallouk¹  Youssef Retal¹ 

[1] Urology Department, Tangier University Hospital, Faculty of Medicine, Abdelmalek Essaâdi University;

关键词: Elephantiasis;    Lymphedema;    Filariasis;    Scrotum;   

DOI  :  10.1186/s12301-020-00045-6

来源: DOAJ

【 摘 要 】

Abstract Background Isolated genital elephantiasis outside filariasis endemic tropical and subtropical regions is rare and presents a diagnostic and therapeutic challenge. Serologic and radiographic investigation must be undertaken to exclude reversible causes of genital elephantiasis. Case presentation Authors report herein the case of a 58-year-old patient with chronic penile and scrotal elephantiasis. He had a history of untreated urethritis and an endoscopic urethrotomy for urethra stricture three years ago. Serological test for chlamydiosis was positive. Retrograde urethrocystography demonstrated a bulbar urethra stricture. The patient spectacularly and completely improved after endoscopic urethrotomy and long-term doxycycline. Conclusions Early treatment of sexual transmitted infections such as chlamydiosis is important to prevent the evolution of penoscrotal elephantiasis and to avoid surgical procedures.

【 授权许可】

Unknown