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Fournier Gangrene

Rapidly progressive necrotizing soft tissue infection of the perineum, genitals, and perianal region.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Genel Cerrahi department. Book Appointment →

What is Fournier Gangrene?

Fournier gangrene is a rapidly progressive form of necrotizing fasciitis of the perineum, genitals, and perianal region caused by a mixture of aerobic and anaerobic bacteria. Its mortality is high if early diagnosis and radical debridement are not performed.

It is most commonly seen in men; diabetes, obesity, immunosuppression, and urogenital-colorectal infections are the main predisposing factors.

Locally mild-appearing infection at onset may rapidly progress to systemic sepsis; for this reason, an aggressive surgical approach when in doubt is life-saving.

Symptoms

Severe pain in the perineum, scrotum, or perianal region
Erythema, edema, and crepitus
Foul-smelling discharge and necrosis
High fever and chills
Tachycardia and hypotension
Altered consciousness
Skin color change (purplish, blackening)

Risk Factors

Diabetes
Obesity
Alcohol use
Immunosuppression (HIV, chemotherapy, steroid)
Chronic kidney failure
Perianal abscess, fistula, urethral stricture
History of trauma and surgical intervention

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Rapidly increasing pain and swelling in the genital region
  • Change in skin color
  • High fever and signs of sepsis
  • Perineal infection in diabetics
  • Foul-smelling discharge and crepitus

Treatment Methods

01
Urgent wide debridement and recurrent revisions
02
Broad-spectrum IV antibiotics (carbapenem + clindamycin ± linezolid)
03
Fluid resuscitation and intensive care support
04
Fecal/urinary diversion (colostomy, suprapubic catheter)
05
Negative pressure wound therapy
06
Wound closure and reconstruction (graft, flap)

Which Department to Visit?

You can visit our Genel Cerrahi department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.