Elephantiasis of male genitalia: clinical aspects and treatments

Seance of wednesday 26 february 2003 (SEANCE A DAKAR (SENEGAL))

Abstract

Elephantiasis of male genitalia is characterized by its rarity and theresulting sexual disorders. The aim of this study was to review theclinical features and therapeutic options of this disease. We reviewed24 cases of penile, scrotal, or peno-scrotal elephantiasisoperated on over an 11 years period in the department of Urology,Dakar University Hospital, between 1991 and 2002. The patientsmean age was 43 years. The time from the onset of the disease tothe first medical consult was 7.8 years. The disease localization waspenile (4 cases), scrotal (8 cases), or peno-scrotal (12 cases). Etiologywas mainly bacterial with 12 cases of urethral stenosis. Meanfollow-up time after surgery was 6 years. The outcome of elephantiasistreatment was both aesthetically and functionally satisfactoryin 21 cases. A modification of the “BOTREAU-ROUSSEL” techniquewas used to cover the external genitalia without the use ofcutaneous pedicled or free flaps. The results of uretroplasty weregood in 8 cases, with 6 cases operated with QUARTEY’s technique.