Background: Fournier's gangrene is a rare, fulminant, and usually localized necrotizing soft tissue polymicrobial infection of the perineum, with occasional extension up to the abdominal wall.
Case Presentation: We describe an unusual case of penile gangrene in a 64-year-old Tunisian man suffering from urinary incontinence secondary to cerebrovascular accident. Gangrene developed due to continuous tourniquet effect on the penis caused by a condom catheter. Although source control was achieved with aggressive debridement, careful wound care, and wide-spectrum antibiotherapy, the patient died due to septic shock.
Conclusion: Use of condom catheters is not without complications. Careful placement, strict hygiene, and regular monitoring of the local condition are necessary.
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http://dx.doi.org/10.1186/s13256-023-03771-x | DOI Listing |
Case Rep Surg
January 2025
Department of Plastic and Reconstructive Surgery, Cork University Hospital, Cork, County Cork, Ireland.
A rare case of Fournier's gangrene (FG) secondary to varicella-zoster virus (VZV) affecting the penis and scrotum of a 7-year-old boy is presented. To the authors' knowledge, there are four cases of FG in children as a result of VZV reported to date. Our patient underwent a total of four surgical debridements and was reconstructed using a split-thickness skin graft (SSG).
View Article and Find Full Text PDFJ Nippon Med Sch
January 2025
Department of Plastic, Reconstructive, and Aesthetic Surgery, Nippon Medical School Hospital.
The reliable engraftment of skin grafts into areas with complex shapes can be challenging. Here, we report a case of successful fixation of a genital skin graft using negative pressure wound therapy (NPWT) with RENASYS Cotton Filler. A 44-year-old male with no relevant medical history underwent split-thickness skin grafting for a genital skin defect caused by Fournier's gangrene.
View Article and Find Full Text PDFCureus
November 2024
Department of Urology, University of Health Sciences, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, TUR.
Penile prosthesis implantation is considered a last-resort treatment for erectile dysfunction, used when pharmacological and other conservative treatments are inadequate or at the patient's request. The well-documented complications of penile prostheses include pain, infection, mechanical failure, improper positioning, and erosion. In this case, we report a patient presenting with penile skin necrosis, despite the absence of typical risk factors such as diabetes mellitus, atherosclerosis, or chronic renal failure, attributed to pressure from a condom catheter that was used 15 years after the inflatable penile prosthesis implantation.
View Article and Find Full Text PDFInt J Surg Case Rep
January 2025
Nepalese Army Institute of Health Sciences, Kathmandu, Nepal.
Introduction: Fournier's gangrene, a polymicrobial infection affecting the scrotum and perineal area, predominantly affects elderly males, presenting challenges in diagnosis and management. This report examines two cases, with a focus on the rare outcome of bilateral orchidectomy.
Case Presentation: A 69-year-old diabetic male presented with severe penile and scrotal pain, leading to the diagnosis of Fournier's gangrene.
Rev Med Inst Mex Seguro Soc
July 2024
Instituto Mexicano del Seguro Social, Coordinación de Calidad de Insumos y Laboratorios Especializados. Ciudad de México, México.
Background: Fournier's gangrene secondary to mpox has been scarcely documented in the literature. To provide a clinical-epidemiological description of a case of mpox complicated with Fournier's gangrene treated in a secondary hospital.
Clincal Case: A 20-year-old male HIV infected with dermal lesions on the penis and penile and scrotal oedema developed Fournier's gangrene, for which he was hospitalized.
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