Abstract

Marouane Habla*, Benkhakdoun Mohamed, Jaafari Ahmed Zakaria, Benyoussef Jihane, Zahiri Saad, El Youssefi Ahlam, El Harti Amine and Mounia Diouri

ABSTRACT

Scrotal elephantiasis is a condition characterized by a considerable increase in scrotal volume which can reach a very large size; common in filarial endemic areas. Outside of this epidemiological context, sporadic cases of different etiologies are reported in the literature. It is a pathology that generally occurs in men in their fourth decade. is very disabling for the patient from a functional, sexual and aesthetic point of view. The symptoms are characterized by an edematous infiltrate of the skin and subcutaneous tissue, cardboard in appearance and purplish in color. The scrotum, penis and perineal region are gradually affected. Scrotal elephantiasis is a pathology of primary, secondary or very often idiopathic etiology. We report the case of a 56-year-old patient with scrotal elephantiasis measuring 65 cm in circumference, in whom we were able to perform a resection with preservation of the noble structures and a reconstruction of the scrotal bursa by suture detachment of the healthy skin of the either side of the elephantiasis and the reconstruction of the loss of skin substance of the penis by skin graft of thin skin. We take stock, through our experience and several literature reviews, of the diagnostic aspects and therapeutic management of penoscrotal elephantiasis.