Fournier gangrene

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Fournier gangrene,
frequency: 1 per 62,500 males a year[1]

Fournier gangrene or Fournier's gangrene is an acute gangrenous infection of the scrotum, penis, or perineum following local trauma, operative procedures, an underlying urinary tract disease, or a distant acute inflammatory process. It is a very serious, frequently fatal condition.[2]

Galukande et al. (2014) reported two cases of previously rare Fournier's gangrene at the Infectious Disease Institute and International Hospital Kampala (IHK). The cases eventually recovered with aggressive treatment. The increase in the incidence of Fournier's gangrene is attributed to non-therapeutic Voluntary Medical Male Circumcision (VMMC) sponsored by the United States of America.[3]

Sliwinski et al. (2014) reported the case of Fournier's gangrene in a 24-year-old man who had an elective non-therapeutic circumcision for “prophylactic hygiene reasons”. There was extensive debridement of infected tissue, which resulted in deficit of skin which was resolved by the use of a pedicle flap from the anterior abdominal wall, after which the patient recovered.[4]

References

  1. REFbook Hamdy FC, Eardley I (2017): Oxford Textbook of Urological Surgery. Oxford University Press. P. 76. ISBN 9780191022524.
  2. REFweb (2003). Fournier's gangrene, The Free Dictionary. Retrieved 18 January 2022.
  3. REFjournal Galukande M, Seskavuga DB, Muganzi A, Coutinho A. Fournier's gangrene after adult male circumcision. int J Emerg Med. September 2014; 7(1): 1n4. PMID. PMC. DOI. Retrieved 18 January 2022.
  4. REFjournal Sliwinski A, Kavanagh LE, Bolton D, Lawrentschuk N, Crock JG. Fournier’s gangrene - delayed pedicle flap based upon the anterior abdominal wall. Int Braz J urol. 2014; 40(3): 423-6. PMID. DOI. Retrieved 18 January 2022.