RESUMEN
This study presents an experience with diagnosis and management of external genital elephantiasis in 18 children in the age range of 3 to 15 years. All patients underwent surgical treatment. The type and scope of surgery depended on the extent and severity of elephantiasis. A total of 21 operations were done. Long-term results were evaluated in these 13 patients at 1 to 22 years. The evaluation included physical appearance of the genitalia, scars, secondary deformities, penile and testicular size, the presence of erections and menstruation. Adults of mature ages were evaluated for fertility and reproductive status. Long-term results were good in all 13 patients. This analysis suggests that early radical surgical treatment of children with congenital elephantiasis of the external genitalia enables a normal anatomic and functional genital development and averts severe local and systemic disorders.
Asunto(s)
Elefantiasis/diagnóstico , Enfermedades de los Genitales Femeninos/diagnóstico , Enfermedades de los Genitales Masculinos/diagnóstico , Adolescente , Niño , Preescolar , Elefantiasis/congénito , Elefantiasis/cirugía , Femenino , Estudios de Seguimiento , Enfermedades de los Genitales Femeninos/congénito , Enfermedades de los Genitales Femeninos/cirugía , Enfermedades de los Genitales Masculinos/congénito , Enfermedades de los Genitales Masculinos/cirugía , Genitales Femeninos/cirugía , Genitales Masculinos/cirugía , Humanos , MasculinoRESUMEN
According to the author' data elephantiasis of the upper extremities was observed in 13 (6.2%) among 215 patients, operated upon for elephantiasis of the extremities. There were 3 males and 10 females. The patients' age ranged from 3 to 56 years. Five patients suffered elephantiasis of the upper extremity since their birth, 8 patients showed acquired elephantiasis, in particular after mastectomy and operative procedures in the axillary region. Late results of surgical treatment proved to be quite satisfactory.