AGGRESSIVE SURGICAL MANAGEMENT OF FOURNIER'S GANGRENE (NECROTIZING FASCIITIS): REVIEW OF 13 CASES

Abstract

Objective: To study the aggressive management of patients of Fournier's gangrene, and to
access the importance of aggressive early debridement in the prognosis and survival.
Material and Methods: A retrospective study conducted over period of one yearat Shalamar
Medical and Dental College, Lahore. A retrospective study conducted over period of one yearat
Shalamar Medical and Dental College, Lahore.
Results: In our study of 13 cases, all the patients were males with age range of 40-70 years. In 8
patients, there was a history of immunosuppression (10 cases of diabetes mellitus and history of
surgery in 1 cases) while in 2 patients we could not identify any underlying cause. Surgical
debridement was done in all the cases, 5 cases developed acute renal failure which was
managed while one patient died.
Conclusions: Fournier's gangrene is an abrupt, rapidly progressive, gangrenous infection of the
external genitalia and perineum and a real urological emergency. Prompt diagnosis and early
surgical intervention is required for a better outcome of these patients.