Volume 101, Issue 6
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



Urogenital schistosomiasis causes morbidity within the genitalia but is underreported and infrequently examined in men. To draw attention to male genital schistosomiasis (MGS), a longitudinal cohort study was conducted among fishermen along the southwestern shoreline of Lake Malawi. A case series of five participants is presented inclusive of questionnaire interviews, parasitological examinations, ultrasonography, and provision of a standard dose (40 mg/kg) of praziquantel (PZQ) treatment at baseline, 1-, 3-, 6-, and 12-month follow-up time points. Eggs of were observed in urine or semen across all time points; parasitological diagnostics were bolstered by real-time PCR for DNA in semen and by portable ultrasonography to document putative MGS-associated morbidity. We highlight the importance of developing standard diagnostic tests for MGS and increasing the accessibility of PZQ treatment to men, especially those in at-risk endemic areas.


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  • Received : 29 Jul 2019
  • Accepted : 11 Sep 2019
  • Published online : 04 Nov 2019

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