Fournier's gangrene is a severe life-threatening
infection involving the perianal area, perineum, and external genitalia. It demands prompt recognition,
critical care therapy, surgical
therapy, and a combination of
antibiotics. The
infection commonly spreads via the fascial planes and causes superficial vascular
thrombosis within the Colles' fascia around the external genitalia. It can extend cephalad to involve the Scarpa's fascia and Camper's fascia in the abdominal wall. The treatment would include multiple
debridements, which would result in disfiguring
scars of the perineum and might lead to significant physical and psychological complications. We describe a case of a 58-years-old man presenting with
Fournier's gangrene resulting from an
infection of an impacted urethral stone. The patient previously had obstructive voiding symptoms for 1 month but chose to neglect them. The resultant
infection was severe and caused penile and right testicular
gangrene. He underwent
multiple wound debridements, which included a total penectomy and right
orchiectomy. Psychological and rehabilitative support was necessary for him to overcome his loss and disfigurement.