Fournier’s Gangrene: Analysis of 14 Cases ()
ABSTRACT
Introduction: Perineo-scrotal
gangrene is a necrotizing fasciitis concerning soft parts of the genital area
which necessitates a rapid, complete and multidisciplinary medical management. The
aim of our study was to describe the epidemiologic, diagnostic and therapeutic
aspects of Fournier’s gangrene. Patients and methods: We have carried out a
retrospective study with 14 patients with Fournier’s gangrene, who were treated
from January 2011 to November 2013 at the Urology A Department of Ibn Sina
University Hospital, Rabat, Morocco. Results: The average age was 58 years (47
to 76 years). All patients were male. Average time (delay) between onset of
infection and consultation was one week. Clinical symptomatology was dominated
by edema and erythema signs, fever and pain. In most cases, skin necrosis
initially affected perineo-scrotal region. 43% of patients were diabetic. 5
patients (35%) had a urethral stricture. The most common germs found were:
Escherichia coli (50%), Streptococcus (22%) and Klebsiella (14%). The treatment
consisted in a large debridement, associated with fluid and electrolyte
replacement and parenteral broadspectrum antibiotics with drainage of urine.
Orchiectomy was required in 2 patients. The average length of hospital stay was
3 weeks. 4 patients (28%) had a scrotal collection. 2 patients (14%) died from
a toxic septic shock. Conclusion: Fournier’s gangrene remains, despite the
multidisciplinary medical management, a serious affection associated with high
mortality. Early consultation and correction of general disorders and immune
deficiencies can improve its prognosis.
Share and Cite:
Asseban, M. , Kallat, A. , Mazdar, A. , Sayegh, H. , Iken, A. , Benslimane, L. and Nouini, Y. (2014) Fournier’s Gangrene: Analysis of 14 Cases.
Open Journal of Urology,
4, 109-113. doi:
10.4236/oju.2014.48019.