Discovery of Scrotal Elephantiasis during a Free Surgical Treatment Campaign for Adult Hydroceles at the Koutiala Reference Health Centre

Abstract

Scrotal elephantiasis (scrotal lymphoedema) is defined as an increase in scrotal volume that can reach a very large size. It has functional (burying of the penis), aesthetic and psychological repercussions. This is an extreme feature of lymphatic filariasis, which is mainly seen in endemic filarial areas. Outside these areas, this condition is rare and is usually idiopathic, rarely congenital. We report a case of scrotal elephantiasis treated by wide excision of the pathological scrotal wall and scrotal plasty, with a good functional and aesthetic result.