Abstract | OBJECTIVES: To describe and analyse the proposed therapeutic modalities to treat a series of patients suffering from Fournier's gangrene involving the entire scrotum. MATERIAL AND METHODS: RESULTS: All patients survived after skin cover. Three of them were reviewed 2 months after restoration of gastrointestinal continuity and presented a good general status with a satisfactory esthetic result. The fourth patient was lost to follow-up. The mean reoperation rate was 6.5 per patient. The mean intensive care stay was 9.5 weeks. CONCLUSION: The choice of intensive treatment depends on the extent of the lesions. When the entire scrotum is involved, repeated surgical excisions and systematic colostomy, combined with the other treatment modalities appear to be necessary to manage this disease, which still has a serious prognosis.
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Authors | A Méjean, Y P Codet, B Vogt, J B Cazalaa, Y Chrétien, B Dufour |
Journal | Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie
(Prog Urol)
Vol. 9
Issue 4
Pg. 721-6
(Sep 1999)
ISSN: 1166-7087 [Print] France |
Vernacular Title | Gangrène de Fournier étendue à la totalité du scrotum: traitement par excisions chirurgicales itératives multiples, colostomie de dérivation, triple antibiothérapie et réanimation post-opératoire. |
PMID | 10555227
(Publication Type: Case Reports, Comparative Study, English Abstract, Journal Article)
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Chemical References |
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Topics |
- Adult
- Aged
- Anti-Bacterial Agents
(therapeutic use)
- Colostomy
- Critical Care
- Follow-Up Studies
- Fournier Gangrene
(drug therapy, surgery, therapy)
- Genital Diseases, Male
(drug therapy, surgery, therapy)
- Humans
- Male
- Middle Aged
- Prognosis
- Reoperation
- Scrotum
- Time Factors
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