Tikhonov Iu A, Boloshev V V
Urol Nefrol (Mosk). 1990 Sep-Oct(5):55-7.
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.
本研究介绍了对18名年龄在3至15岁的儿童进行外生殖器象皮肿诊断和治疗的经验。所有患者均接受了手术治疗。手术的类型和范围取决于象皮肿的程度和严重程度。总共进行了21次手术。对这13名患者在1至22年进行了长期结果评估。评估内容包括生殖器的外观、疤痕、继发性畸形、阴茎和睾丸大小、勃起和月经情况。对成年患者评估了生育能力和生殖状况。所有13名患者的长期结果良好。该分析表明，早期对外生殖器先天性象皮肿患儿进行根治性手术治疗可使生殖器正常解剖和功能发育，并避免严重的局部和全身疾病。
