Investigation and treatment of non-infectious scrotal elefantiázis – case collection and literature review

DOI: 10.22591/magyurol.2018.4.romicsm.163

Authors:
Romics Miklós dr.¹, Jósvay János dr.², Regőczi Tamás dr.³, Nyirády Péter dr.^1
1Semmelweis Egyetem, Urológiai Klinika és Uroonkológiai Centrum, Budapest (igazgató: Nyirády Péter dr.)
²Szt. Imre Egyetemi Oktatókórház, Plasztikai Sebészeti Profil, Budapest (osztályvezető: Jósvay János dr.)
³Szt. Imre Egyetemi Oktatókórház, Általános Sebészeti Profil, Budapest (osztályvezető: Máté Miklós dr.)

Summary

Introduction: Scrotal elephantiasis is a rare, benign entity with radical impact on the quality of life. In the Third World chronic lymphedema and enlargement of the scrotum usually occurred due to filariasis or other infections, in more developed countries it mainly happens for other reasons like morbid obesity. Because of its rarity, investigation and treatment of the problem requires special care and coordinated cooperation between the urologist dermatologist and plastic surgeon team.
Patients and methods: In our work, written and visual documentation of 5 cases is presented with the proposed algorithm management of the condition. In addition, we summarize the available knowledge represented in domestic and international literature.
Results: After studying our well documented patients, it can be stated that proper preparation, surgical planning, pre- and postoperative antibiotic and wound management, the surgical solution of the problem can be achieved with good results and high safety.
Discussion: As the aftermath of the increasing incidence of morbid obesity in Hungary, scrotal elephantiasis is likely to become more common in the future, thus it is desired for all urologists to be familiar with the management algorithm of the condition.

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