{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T13:59:45Z","timestamp":1780581585458,"version":"3.54.1"},"reference-count":5,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,10,12]]},"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:p>Scrotal elephantiasis (SE) is a condition considered rare in western industrialised countries but common in filaria prone regions. If no apparent causes are found for SE, it is called idiopathic SE. Medical and conservative therapies are ineffective against idiopathic SE, and surgical intervention is mandatory to treat this disabling condition. Nevertheless, it remains unclear whether surgical intervention improves quality of life among patients with idiopathic SE. Herein, we report a case of a 41-year-old man who underwent acute scrotal resection and reconstruction, secondary to haemorrhage from his idiopathic SE. The aim of this study was to describe the operative approach and assess patient satisfaction after surgical treatment. The patient had no recurrence of SE after surgical treatment at 6\u2009months follow-up and had considerable improvements assessed by general and disease-specific quality of life questionnaires.<\/jats:p>","DOI":"10.1136\/bcr-2021-244018","type":"journal-article","created":{"date-parts":[[2021,10,27]],"date-time":"2021-10-27T13:06:40Z","timestamp":1635340000000},"page":"e244018","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Resection and reconstruction of idiopathic scrotal elephantiasis: surgical approach and quality of life assessment"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7187-7940","authenticated-orcid":false,"given":"Hasan G\u00f6kcer","family":"Tekin","sequence":"first","affiliation":[{"name":"Research Unit for Plastic Surgery, Odense University Hospital, Odense, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin","family":"Andersen","sequence":"additional","affiliation":[{"name":"Department of Urology, Odense University Hospital, Odense, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivi","family":"Bakholdt","sequence":"additional","affiliation":[{"name":"Research Unit for Plastic Surgery, Odense University Hospital, Odense, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jens Ahm","family":"S\u00f8rensen","sequence":"additional","affiliation":[{"name":"Research Unit for Plastic Surgery, Odense University Hospital, Odense, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,10,27]]},"reference":[{"key":"2025082711382357000_14.10.e244018.1","doi-asserted-by":"crossref","first-page":"686","DOI":"10.1016\/S0002-9610(85)80156-2","article-title":"Elephantiasis of the penis and scrotum. A review of 350 cases","volume":"149","author":"Dandapat","year":"1985","journal-title":"Am J Surg"},{"key":"2025082711382357000_14.10.e244018.2","doi-asserted-by":"crossref","DOI":"10.1186\/1752-1947-1-23","article-title":"Giant scrotal elephantiasis of inflammatory etiology: a case report","volume":"1","author":"Denzinger","year":"2007","journal-title":"J Med Case Rep"},{"key":"2025082711382357000_14.10.e244018.3","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e318245ea3c"},{"key":"2025082711382357000_14.10.e244018.4","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/j.ijscr.2019.10.070","article-title":"Penoscrotal elephantiasis nostras verrucosa: a case report and literature review","volume":"65","author":"Moussa","year":"2019","journal-title":"Int J Surg Case Rep"},{"key":"2025082711382357000_14.10.e244018.5","doi-asserted-by":"crossref","DOI":"10.1186\/s12894-019-0456-6","article-title":"Penoscrotal edema: a case report and literature review","volume":"19","author":"Lin","year":"2019","journal-title":"BMC Urol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-244018","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:38:29Z","timestamp":1756319909000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-244018"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10]]},"references-count":5,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2021,10,27]]},"published-print":{"date-parts":[[2021,10]]}},"alternative-id":["10.1136\/bcr-2021-244018"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-244018","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10]]}}}