1921
Volume 80, Issue 3
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

In a pilot program of mass surgery weeks (MSW) to provide hydrocelectomy services to men with filarial scrotal hydrocele, local general practitioners performed 425 surgical repairs in 301 men in five MSW in three rural Nigerian community hospitals between 2002 and 2005. The most common (94%) procedure used was the eversion technique, which was most familiar to the practitioners. Postoperative complications included hematoma (3.7%) and infection (3%), and there was one death from infection in an elderly man with previously unrecognized diabetes. In 115 patients (38%) followed for 1 to 3 years, the hydrocele recurrence rate was 7%. The eversion technique gives an acceptable outcome, and MSW are safe and effective if strict attention is paid to preoperative screening of candidates and asepsis.

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2009-03-01
2017-11-25
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References

  1. Ottesen EA, 2002. Major progress toward eliminating lymphatic filariasis. N Engl J Med 347 : 1885–1886.
  2. Dreyer G, Noroes J, Figueredo-Silva J, Piessens WF, 2000. Pathogenesis of lymphatic disease in Bancroftian filariasis: a clinical perspective. Parasitol Today 16 : 544–548.
  3. Haddix A, Kestler A, 2000. Lymphatic filariasis: economic aspects of the disease and programmes for its elimination. Trans R Soc Trop Med Hyg 94 : 592–593.
  4. World Health Organization, 2005. Global program to eliminate lymphatic filariasis: progress report for 2004. Wkly Epidemiol Rec 80 : 202–212.
  5. World Health Organization, 2002. Surgical Approaches to the Urogenital Manifestations of Lymphatic Filariasis. Geneva: World Health Organization. WHO/CDS/CPE/CEE/2002.33.
  6. World Health Organization, 2004. Lymphatic filariasis: progress in disability prevention activities. Wkly Epidemiol Rec 79 : 417–424.
  7. World Health Organization, 2006. Informal consultation on preventing disability from Lymphatic filariasis, WHO, Geneva, August 2006. Wkly Epidemiol Rec 81 : 373–383.
  8. Eigege A, Richards F, Blaney D, Miri E, Umaru J, Jinadu MY, Mathai W, Hopkins DR, 2003. Rapid assessment for lymphatic filariasis in central Nigeria: a comparison of ICT and hydrocele rates in an area of high LF endemicity. Am J Trop Med Hyg 68 : 643–646.
  9. Hopkins DR, Eigege S, Miri ES, Gontor I, Ogah G, Umaru J, Gwomkudu CD, Matha W, Jinadu MY, Amadiegwu S, Oyeneka OK, Korve K, Richards F, 2002. Lymphatic filariasis elimination and Schistosomiasis control in combination with onchocerciasis control in Nigeria. Am J Trop Med Hyg 67 : 266–272.
  10. Richards F, Eigege A, Miri A, Jinadu MY, Hopkins DR, 2006. Integration of mass drug administration programs in Nigeria: the challenge of Schistosomiasis. Bull World Health Organ 8 : 1–4.
  11. Mathieu E, Amann J, Eigege A, Richards F, Sodahlon Y, 2008. Collecting baseline information for national morbidity alleviation programs: different methods to estimate lymphatic filariasis morbidity prevalence. Am J Trop Med Hyg 78 : 153–158.
  12. Gyapong JO, Webber RH, Morris J, Bennett S, 1998. Prevalence of hydrocele as a rapid diagnostic index for lymphatic filariasis. Trans R Soc Trop Med Hyg 98 : 40–43.
  13. Mwobobia IK, Muniu EM, Kombe Y, Wamae CN, 2000. Hydrocelectomy: a proxy for hydrocele prevalence in coastal Kenya. Ann Trop Med Parasitol 94 : 479–484.
  14. Michael E, Bundy DAP, Grenfell BT, 1996. Reassessing the global prevalence and distribution of lymphatic filariasis. Parasitology 112 : 409–428.
  15. Lindsay SW, Thomas CJ, 2000. Mapping and estimating the population at risk from lymphatic filariasis in Africa. Trans R Soc Trop Med Hyg 94 : 37–45.
  16. DeVries CR, 2002. The role of the urologist in the treatment and elimination of lymphatic filariasis worldwide. BJU Int 89 (Suppl 1): 37–43.
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  • Received : 12 Sep 2008
  • Accepted : 07 Nov 2008

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