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Wuchereriabancrofti filariasis and penoscrotal elephantiasis are frequent in endemic countries but a rare condition in the developed countries. We report a case of idiopathic penoscrotal elephantiasis treated at Kisangani University Hospital by a wide surgical excision of diseased tissue and penoscrotal reconstruction. The postoperative outcome was uneventful. After a follow-up of twelve months, the functional and aesthetic condition of the penis and scrotum remained excellent.
A good surgical management of a penoscrotal elephantiasis case may result in functional and aesthetic recovery of male genitals.