a mechanism for chronic filarial hydrocele with implications for its surgical repair慢性丝虫病积水影响机制为其手术修复.pdfVIP

A Mechanism for Chronic Filarial Hydrocele with Implications for Its Surgical Repair ˜ 1,2,3 2,3,4 Joaquim Noroes *, Gerusa Dreyer ˆ ´ ´ ˆ 1 Departamento de Cirurgia, Centro de Ciencias da Saude, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil, 2 Nucleo de Ensino, Pesquisa e Assistencia ´ ˜ ˜ em Filariose (NEPAF), Hospital das Clınicas, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil, 3 Organizac¸ao Nao governamental Amaury Coutinho para ˆ ˜ ˜ Doenc¸as Endemicas e Tropicais, Recife, Pernambuco, Brazil, 4 Centro de Pesquisas Aggeu Magalhaes, Fundac¸ao Oswaldo Cruz (FIOCRUZ), Recife, Pernambuco, Brazil Abstract Background: Chronic hydrocele is the most common manifestation of bancroftian filariasis, an endemic disease in 80 countries. In a prospective study, we evaluated the occurrence of intrascrotal lymphangiectasia, gross appearance/ consistency of the testis, and the efficacy of complete excision of hydrocele sac in patients living in a bancroftian filariasis endemic area who underwent hydrocelectomy at the Center for Teaching, Research and Tertiary Referral for Bancroftian Filariasis (NEPAF). Methodology/Principal Findings: A total of 968 patients with uni- or bilateral filarial hydrocele (Group-1) and a Comparison Group (CG) of 218 patients