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.
CITATION STYLE
Kharbach, Y., Bakali Issaoui, Z., Retal, Y., & Khallouk, A. (2020). Infectious etiologies of genital elephantiasis outside of filariasis endemic regions: a case report. African Journal of Urology, 26(1). https://doi.org/10.1186/s12301-020-00045-6
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