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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A surgical challenge: Idiopathic scrotal elephantiasis</title>
<author><name sortKey="Brotherhood, Hilary Laurel" sort="Brotherhood, Hilary Laurel" uniqKey="Brotherhood H" first="Hilary Laurel" last="Brotherhood">Hilary Laurel Brotherhood</name>
<affiliation><nlm:aff id="af1-cuaj-7-8-500">Department of Urological Sciences, University of British Columbia, Vancouver, BC;</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Metcalfe, Michael" sort="Metcalfe, Michael" uniqKey="Metcalfe M" first="Michael" last="Metcalfe">Michael Metcalfe</name>
<affiliation><nlm:aff id="af1-cuaj-7-8-500">Department of Urological Sciences, University of British Columbia, Vancouver, BC;</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Goldenberg, Larry" sort="Goldenberg, Larry" uniqKey="Goldenberg L" first="Larry" last="Goldenberg">Larry Goldenberg</name>
<affiliation><nlm:aff id="af1-cuaj-7-8-500">Department of Urological Sciences, University of British Columbia, Vancouver, BC;</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pommerville, Peter" sort="Pommerville, Peter" uniqKey="Pommerville P" first="Peter" last="Pommerville">Peter Pommerville</name>
<affiliation><nlm:aff id="af1-cuaj-7-8-500">Department of Urological Sciences, University of British Columbia, Vancouver, BC;</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bowman, Cameran" sort="Bowman, Cameran" uniqKey="Bowman C" first="Cameran" last="Bowman">Cameran Bowman</name>
<affiliation><nlm:aff id="af2-cuaj-7-8-500">Division of Plastic Surgery, Department of Surgery, University of British Columbia, Vancouver, BC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Naysmith, David" sort="Naysmith, David" uniqKey="Naysmith D" first="David" last="Naysmith">David Naysmith</name>
<affiliation><nlm:aff id="af2-cuaj-7-8-500">Division of Plastic Surgery, Department of Surgery, University of British Columbia, Vancouver, BC</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">25132898</idno>
<idno type="pmc">4113584</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4113584</idno>
<idno type="RBID">PMC:4113584</idno>
<idno type="doi">10.5489/cuaj.1739</idno>
<date when="2014">2014</date>
<idno type="wicri:Area/Pmc/Corpus">002021</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002021</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A surgical challenge: Idiopathic scrotal elephantiasis</title>
<author><name sortKey="Brotherhood, Hilary Laurel" sort="Brotherhood, Hilary Laurel" uniqKey="Brotherhood H" first="Hilary Laurel" last="Brotherhood">Hilary Laurel Brotherhood</name>
<affiliation><nlm:aff id="af1-cuaj-7-8-500">Department of Urological Sciences, University of British Columbia, Vancouver, BC;</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Metcalfe, Michael" sort="Metcalfe, Michael" uniqKey="Metcalfe M" first="Michael" last="Metcalfe">Michael Metcalfe</name>
<affiliation><nlm:aff id="af1-cuaj-7-8-500">Department of Urological Sciences, University of British Columbia, Vancouver, BC;</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Goldenberg, Larry" sort="Goldenberg, Larry" uniqKey="Goldenberg L" first="Larry" last="Goldenberg">Larry Goldenberg</name>
<affiliation><nlm:aff id="af1-cuaj-7-8-500">Department of Urological Sciences, University of British Columbia, Vancouver, BC;</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Pommerville, Peter" sort="Pommerville, Peter" uniqKey="Pommerville P" first="Peter" last="Pommerville">Peter Pommerville</name>
<affiliation><nlm:aff id="af1-cuaj-7-8-500">Department of Urological Sciences, University of British Columbia, Vancouver, BC;</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bowman, Cameran" sort="Bowman, Cameran" uniqKey="Bowman C" first="Cameran" last="Bowman">Cameran Bowman</name>
<affiliation><nlm:aff id="af2-cuaj-7-8-500">Division of Plastic Surgery, Department of Surgery, University of British Columbia, Vancouver, BC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Naysmith, David" sort="Naysmith, David" uniqKey="Naysmith D" first="David" last="Naysmith">David Naysmith</name>
<affiliation><nlm:aff id="af2-cuaj-7-8-500">Division of Plastic Surgery, Department of Surgery, University of British Columbia, Vancouver, BC</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">Canadian Urological Association Journal</title>
<idno type="ISSN">1911-6470</idno>
<imprint><date when="2014">2014</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p>Scrotal elephantiasis is a condition rarely encountered in developed nations. It is endemic in tropical regions due to the presence of filariasis (Wucheria bancrofti). We report 2 cases of idiopathic scrotal elephantiasis in Canadian citizens with no history of travel to endemic filariasis regions, malignancy, surgery or radiation. Both patients underwent complete excision of the involved tissue with reconstruction. We found that for advanced cases of scrotal lymphedema, surgery is currently the only solution. In our cases of advanced idiopathic disease, surgical treatment combining the expertise of a plastic surgeon and a urologist provided a successful functional and cosmetic result.</p>
</div>
</front>
</TEI>
<pmc article-type="case-report"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Can Urol Assoc J</journal-id>
<journal-id journal-id-type="iso-abbrev">Can Urol Assoc J</journal-id>
<journal-id journal-id-type="publisher-id">CUAJ</journal-id>
<journal-title-group><journal-title>Canadian Urological Association Journal</journal-title>
</journal-title-group>
<issn pub-type="ppub">1911-6470</issn>
<publisher><publisher-name>Canadian Medical Association</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">25132898</article-id>
<article-id pub-id-type="pmc">4113584</article-id>
<article-id pub-id-type="doi">10.5489/cuaj.1739</article-id>
<article-id pub-id-type="publisher-id">cuaj-7-8-500</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Series</subject>
</subj-group>
</article-categories>
<title-group><article-title>A surgical challenge: Idiopathic scrotal elephantiasis</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Brotherhood</surname>
<given-names>Hilary Laurel</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="corresp" rid="c1-cuaj-7-8-500"></xref>
<xref ref-type="aff" rid="af1-cuaj-7-8-500"><sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Metcalfe</surname>
<given-names>Michael</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="af1-cuaj-7-8-500"><sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Goldenberg</surname>
<given-names>Larry</given-names>
</name>
<degrees>MD, FRCSC</degrees>
<xref ref-type="aff" rid="af1-cuaj-7-8-500"><sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Pommerville</surname>
<given-names>Peter</given-names>
</name>
<degrees>MD, FRCSC</degrees>
<xref ref-type="aff" rid="af1-cuaj-7-8-500"><sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bowman</surname>
<given-names>Cameran</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="af2-cuaj-7-8-500"><sup>†</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Naysmith</surname>
<given-names>David</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="af2-cuaj-7-8-500"><sup>†</sup>
</xref>
</contrib>
</contrib-group>
<aff id="af1-cuaj-7-8-500"><label>*</label>
Department of Urological Sciences, University of British Columbia, Vancouver, BC;</aff>
<aff id="af2-cuaj-7-8-500"><label>†</label>
Division of Plastic Surgery, Department of Surgery, University of British Columbia, Vancouver, BC</aff>
<author-notes><corresp id="c1-cuaj-7-8-500">Correspondence: Dr. Hilary Laurel Brotherhood, Department of Urological Sciences, University of British Columbia, Vancouver, BC; <email>hilarybrotherhood@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><season>Jul-Aug</season>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub"><day>18</day>
<month>7</month>
<year>2014</year>
</pub-date>
<volume>8</volume>
<issue>7-8</issue>
<fpage>E500</fpage>
<lpage>E507</lpage>
<permissions><copyright-statement>Copyright: © 2014 Canadian Urological Association or its licensors</copyright-statement>
<copyright-year>2014</copyright-year>
</permissions>
<abstract><p>Scrotal elephantiasis is a condition rarely encountered in developed nations. It is endemic in tropical regions due to the presence of filariasis (Wucheria bancrofti). We report 2 cases of idiopathic scrotal elephantiasis in Canadian citizens with no history of travel to endemic filariasis regions, malignancy, surgery or radiation. Both patients underwent complete excision of the involved tissue with reconstruction. We found that for advanced cases of scrotal lymphedema, surgery is currently the only solution. In our cases of advanced idiopathic disease, surgical treatment combining the expertise of a plastic surgeon and a urologist provided a successful functional and cosmetic result.</p>
</abstract>
</article-meta>
</front>
</pmc>
</record>
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