Fournier’s gangrene is an acute, rapidly progressive, and potentially fatal, infective necrotizing fasciitis affecting the external genitalia, perineal or perianal. Penis and scrotum – Fournier gangrene. First documented in by Professor Jean Alfred Fournier (Whonamedit: Fournier Gangrene. Fournier gangrene is a rapidly progressing necrotizing fasciitis involving the perineal, perianal, or genital regions and constitutes a true surgical emergency with.

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At radiography, hyperlucencies representing soft tissue gas may be rournier in the region overlying the scrotum or perineum. Report of thirty-three cases and a review of the literature”.

The spread of infection is along the facial vournier and is usually limited by the attachment of the Colles’ fascia in the perineum [ 25 ].

Click here for information on linking to our website or using our content or images. Pathophysiology Infection represents an imbalance between host immunity and the virulence of the causative microorganisms.

Fournier Gangrene – NORD (National Organization for Rare Disorders)

In addition, some side effects have been described as toxic reaction of central nervous system and barotrauma injury to the middle ear. It simply works gngrena exposing a wound to subatmospheric pressure gangrrena an extended period to promote debridement and healing. The clinical features of Fournier’s gangrene include sudden pain in the scrotum, prostration, pallor, and pyrexia.


Circumferential negative-pressure dressing VAC to bolster skin grafts in the reconstruction of the penile shaft and scrotum.

The degree of derivation from normal is graded from 0 to 4. Myocutaneous flap as Gracilis muscle flap is useful in some cases. Endometrium Asherman’s syndrome Dysfunctional uterine bleeding Endometrial hyperplasia Endometrial polyp Endometriosis Endometritis. Electrolytes, BUN, creatinine, blood glucose levels: The mean interval between initial symptoms and arrival at the hospital was 5. The cornerstones gangdena treatment of Fournier’s gangrene are urgent surgical debridement of all necrotic tissue as well as high gangreha of broad-spectrum antibiotics.

Treatment usually consists of the surgical removal debridement of extensive areas of dead tissue necrosis, necrotic and the administration of broad-spectrum intravenous antibiotics.

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About News Events Contact. Table 1 Etiology of Fournier’s gangrene. Canada Communicable Disease Report. Most authorities believe the polymicrobial nature of Fournier gangrene is necessary to create the synergy of enzyme production that promotes rapid multiplication and spread of the infection [ 7 ]. British Journal of Plastic Surgery. Hyperbaric oxygen therapy for necrotizing fasciitis reduces mortality and the need for debridements.

Complex wounds and their management. Anorectal abscesses, urinary tract infections, surgical instrumentation and other contributing factors have all been implicated. If testicular involvement occurs, there is likely an intraabdominal or retroperitoneal source of infection.


Fournier’s Gangrene: Current Practices

Female infertility Fallopian tube obstruction Hematosalpinx Hydrosalpinx Salpingitis. In all the other cases, cover was provided with scrotal skin remnants at the edge of the lesion and on the penis with the inner layer of the prepuce, which had remained intact. Computed tomography may help to determine the portal of entry and extension of the process, but is not indispensable and should not delay surgical treatment. Fournier gangrene is usually secondary to perirectal or periurethral infections associated with local trauma, operative procedures, or urinary tract disease.

Oxford Textbook of Urological Surgery. InBaurienne originally described an idiopathic, rapidly progressive soft-tissue necrotizing process that led to gangrene of the male genitalia.

The underlying condition was FG in fourneir cases, chronic lymphoedema in two, skin deficiency from previous surgeries in two, and Crohn’s disease in one. Dyspareunia Hypoactive sexual desire disorder Sexual arousal disorder Vaginismus. This disease occurs worldwide and, although it is recognized more frequently among male adults, has been identified also among women and children.

Although this treatment is supported by some small studies, hyperbaric oxygen should not delay surgical debridement [ 49 ].