{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,4]],"date-time":"2024-01-04T00:13:49Z","timestamp":1704327229447},"reference-count":22,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"1","license":[{"start":{"date-parts":[[2024,1,3]],"date-time":"2024-01-03T00:00:00Z","timestamp":1704240000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,3]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n<jats:p>Lymphatic filariasis (LF) is a neglected tropical disease that can cause hydrocele and its associated stigma, loss of economic productivity, and depression. Hydrocele surgery is an essential part of LF morbidity management but can be difficult for national programs to implement. To improve access to hydrocele surgeries in C\u00f4te d\u2019Ivoire, we provided a WHO-certified surgical training for six surgical teams from five health districts in C\u00f4te d\u2019Ivoire. We then evaluated the surgical outcomes and assessed the impact of hydrocele surgery on quality of life of hydrocelectomy patients. Preoperative and operative records were reviewed to describe baseline hydrocele characteristics and operative details. Postoperative interviews were conducted 4 to 6 months after surgical correction using a standardized questionnaire. Seventeen men underwent surgery during the training and were available for an interview at the 6-month visit. At the time of 6-month follow-up, 11\/17 (64.7%) reported improvement in activities of daily living and reduction in difficulties with work, 8\/17 (47.1%) reported an improved economic situation, 15\/17 (88.2%) reported improved social interactions, and 15\/16 (93.8%) reported improved sex life after surgical correction. Three patients (17.6%) had minor postoperative complications, but none required hospitalization. All 17 patients who were available for an interview were satisfied with their surgery. Surgical hydrocelectomy training in C\u00f4te d\u2019Ivoire was well received and provided life-altering health improvements for participating patients across multiple domains of life. Support to scale up surgical capacity for this neglected problem is needed.<\/jats:p>","DOI":"10.4269\/ajtmh.23-0554","type":"journal-article","created":{"date-parts":[[2023,11,13]],"date-time":"2023-11-13T15:01:07Z","timestamp":1699887667000},"page":"194-198","source":"Crossref","is-referenced-by-count":0,"title":["Implementation and Outcomes of a Pilot Collaborative Surgical Hydrocele Training in C\u00f4te d\u2019Ivoire"],"prefix":"10.4269","volume":"110","author":[{"given":"Kevin","family":"Montes","sequence":"first","affiliation":[{"name":"Infectious Diseases Division, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgina","family":"Angoa","sequence":"additional","affiliation":[{"name":"Centre Suisse de Recherches Scientifiques en C\u00f4te d\u2019Ivoire, Abidjan, C\u00f4te d\u2019Ivoire;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine M.","family":"Bjerum","sequence":"additional","affiliation":[{"name":"Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adama","family":"Guira","sequence":"additional","affiliation":[{"name":"Department of Surgery, Hopital Saint Camille, Nanoro, Burkina Faso;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivier K.","family":"Kouadio","sequence":"additional","affiliation":[{"name":"Centre Suisse de Recherches Scientifiques en C\u00f4te d\u2019Ivoire, Abidjan, C\u00f4te d\u2019Ivoire;"},{"name":"Universit\u00e9 Nangui Abrogoua, Abidjan, C\u00f4te d\u2019Ivoire;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allassane F.","family":"Ouattara","sequence":"additional","affiliation":[{"name":"Centre Suisse de Recherches Scientifiques en C\u00f4te d\u2019Ivoire, Abidjan, C\u00f4te d\u2019Ivoire;"},{"name":"Universit\u00e9 Nangui Abrogoua, Abidjan, C\u00f4te d\u2019Ivoire;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary J.","family":"Weil","sequence":"additional","affiliation":[{"name":"Infectious Diseases Division, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter U.","family":"Fischer","sequence":"additional","affiliation":[{"name":"Infectious Diseases Division, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aboulaye","family":"Meite","sequence":"additional","affiliation":[{"name":"National Neglected Tropical Diseases Control Program, Ministry of Public Health and Hygiene, Abidjan, C\u00f4te d\u2019Ivoire"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin G.","family":"Koudou","sequence":"additional","affiliation":[{"name":"Centre Suisse de Recherches Scientifiques en C\u00f4te d\u2019Ivoire, Abidjan, C\u00f4te d\u2019Ivoire;"},{"name":"Universit\u00e9 Nangui Abrogoua, Abidjan, C\u00f4te d\u2019Ivoire;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip J.","family":"Budge","sequence":"additional","affiliation":[{"name":"Infectious Diseases Division, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"b1","series-title":"Global Programme to Eliminate Lymphatic Filariasis: Progress Report, 2021","year":"2022"},{"key":"b2","series-title":"Lancet Glob Health","first-page":"e1186","article-title":"The global distribution of lymphatic filariasis, 2000\u201318: a geospatial analysis","volume":"8","year":"2020"},{"key":"b3","series-title":"PLoS Negl Trop Dis","first-page":"e414","article-title":"Marriage, sex, and hydrocele: an ethnographic study on the effect of filarial hydrocele on conjugal life and marriageability from Orissa, India","volume":"3","author":"Babu","year":"2009"},{"key":"b4","series-title":"Acta Trop","first-page":"287","article-title":"The burden of hydrocele on men in northern Ghana","volume":"77","author":"Gyapong","year":"2000"},{"key":"b5","series-title":"Acta Trop","first-page":"57","article-title":"The silent burden of sexual disability associated with lymphatic filariasis","volume":"63","author":"Dreyer","year":"1997"},{"key":"b6","series-title":"PLoS Negl Trop Dis","first-page":"e0004397","article-title":"Productivity loss related to neglected tropical diseases eligible for preventive chemotherapy: a systematic literature review","volume":"10","author":"Lenk","year":"2016"},{"key":"b7","series-title":"Clin Infect Dis","first-page":"2561","article-title":"The health and economic burdens of lymphatic filariasis prior to mass drug administration programs","volume":"70","author":"Mathew","year":"2020"},{"key":"b8","series-title":"Global Programme to Eliminate Lymphatic Filariasis: Progress Report, 2020","year":"2021"},{"key":"b9","series-title":"Lymphatic Filariasis: Managing Morbidity and Preventing Disability: An Aide-M\u00e9moire for National Programme Managers","year":"2021"},{"key":"b10","series-title":"Acta Trop","first-page":"215","article-title":"Consequences of hydrocele and the benefits of hydrocelectomy: a qualitative study in lymphatic filariasis endemic communities on the coast of Ghana","volume":"80","author":"Ahorlu","year":"2001"},{"key":"b11","series-title":"PLoS Negl Trop Dis","first-page":"e0008314","article-title":"Significant improvement in quality of life following surgery for hydrocoele caused by lymphatic filariasis in Malawi: a prospective cohort study","volume":"14","author":"Betts","year":"2020"},{"key":"b12","series-title":"PLoS Negl Trop Dis","first-page":"e0007325","article-title":"Pharmacokinetics, safety, and efficacy of a single co-administered dose of diethylcarbamazine, albendazole and ivermectin in adults with and without Wuchereria bancrofti infection in Cote d\u2019Ivoire","volume":"13","author":"Edi","year":"2019"},{"key":"b13","series-title":"Clin Infect Dis","first-page":"e68","article-title":"Efficacy and safety of a single dose of ivermectin, diethylcarbamazine, and albendazole for treatment of lymphatic filariasis in Cote d\u2019Ivoire: an open-label randomized controlled trial","volume":"71","author":"Bjerum","year":"2020"},{"key":"b14","series-title":"Antimicrob Agents Chemother","first-page":"e0031721","article-title":"Population pharmacokinetics of diethylcarbamazine in patients with lymphatic filariasis and healthy individuals","volume":"65","author":"Bala","year":"2021"},{"key":"b15","series-title":"Surgical Approaches to the Urogenital Manifestations of Lymphatic Filariasis: Report from an Informal Consultation Among Experts","year":"2019"},{"key":"b16","series-title":"J Biomed Inform","first-page":"103208","article-title":"The REDCap consortium: building an international community of software platform partners","volume":"95","author":"Harris","year":"2019"},{"key":"b17","series-title":"J Biomed Inform","first-page":"377","article-title":"Research electronic data capture (REDCap) \u2013 a metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris","year":"2009"},{"key":"b18","series-title":"Trop Biomed","first-page":"24","article-title":"Surgical management of morbidity due to lymphatic filariasis: the usefulness of a standardized international clinical classification of hydroceles","volume":"29","author":"Capuano","year":"2012"},{"key":"b19","series-title":"PLoS Negl Trop Dis","first-page":"e0009403","article-title":"The implementation and impact of a pilot hydrocele surgery camp for LF-endemic communities in Ethiopia","volume":"15","author":"Beyene","year":"2021"},{"key":"b20","series-title":"Ann Trop Med Parasitol","first-page":"39","article-title":"The economic burden of lymphatic filariasis in northern Ghana","volume":"90","author":"Gyapong","year":"1996"},{"key":"b21","series-title":"World J Surg","first-page":"2885","article-title":"Surgical treatment of genital manifestations of lymphatic filariasis: a systematic review","volume":"39","author":"Lim","year":"2015"},{"key":"b22","series-title":"Filaria J","first-page":"1","article-title":"Morbidity management in the Global Programme to Eliminate Lymphatic Filariasis: a review of the scientific literature","volume":"6","author":"Addiss","year":"2007"}],"container-title":["The American Journal of Tropical Medicine and 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