Fournier’s Gangrene: Our Clinical Experience and Outcomes

Authors : İbrahim YAZICI, Erdal BENLİ, Abullah ÇIRAKOĞLU, Ahmet YÜCE, Nurullah KADİM, Mevlüt KELEŞ

Pages : 123-129

Doi:10.19127/mbsjohs.1035310

View : 19 | Download : 8

Publication Date : 2022-02-25

Article Type : Research Paper

Abstract :Objective: We aimed to present our results and experience related to patients followed with Fournier’s gangrene. Methods: Patient data were retrospectively obtained from patient records. Data from 10 patients attending Ordu University Education-Research Hospital Urology clinic with diagnosis of Fournier’s gangrene from April 2017 to April 2021 were used. Cases developing after surgery, with compression wounds, and related to radiotherapy were excluded. Information like patient history, demographic features, comorbid diseases, physical examination findings and treatment outcomes were recorded. Results: The study included outcomes for 10 patients. Mean age was identified as 71.50±9.09 insert ignore into journalissuearticles values(51-78); years. All of our patients were male, with no female patient among our cases. Mean body weight of patients was 80.40±1.81 insert ignore into journalissuearticles values(78-83); kg. When patients are assessed in terms of substance use, 60% of patients smoked and 10% drank alcohol. The mean total number of medications used due to comorbid diseases was 1.8 insert ignore into journalissuearticles values(0-6);. The mean ASA score for patients was 2.20±0.42. In terms of initial location, 6 patients had lesions in the scrotum insert ignore into journalissuearticles values(60%);, 1 on the penis insert ignore into journalissuearticles values(10%); and 3 in the perineal region insert ignore into journalissuearticles values(30%);. The mean duration until surgery was 8.71±4.95 insert ignore into journalissuearticles values(3-17); days, with mean number of surgeries after diagnosis 1.67±0.81 insert ignore into journalissuearticles values(1-3);, and mean dressing duration 22.14±5.30 insert ignore into journalissuearticles values(15-30); days insert ignore into journalissuearticles values(Table 1);. Pathology results for one patient identified squamous cell cancer insert ignore into journalissuearticles values(10%);. Conclusion: I n spite of all developments, Fournier’s gangrene is still an emergency situation associated with high levels of morbidity and mortality. In clinics experienced with this disease, it may be treated close to perfectly with high success rates and low complication rates. We believe the most important points for treatment are early diagnosis, effective.
Keywords : Fourniers gangrene, debridement, experience