Reconstruction of scrotum in fournier’s gangrene

Abstract EN

-Background: Fournier`s gangrene is a rare but a serious form of scrotal gangrene secondary to a synergistic bacterial infection .It is a life threatening condition if not well managed.

Objectives: our study is to evaluate that early diagnosis and treatment will reduce the mortality rate and to review the different types of surgical reconstructive procedures of the scrotum and which is the preferable method.

Methods: a prospective study was done on ten patients with Fournier`s gangrene and we evaluated them according to their age, etiology, prodromal period and predisposing factors, type of surgical reconstruction of scrotum and post operative complications.

Results: Our study shows the youngest age was 35 years old, 80% had identifiable risk factors, 80%had polymicrobial infection, and 60% of patients secondary suturing of scrotum was performed.

Conclusion: Fournier`s gangrene is a serious disease which needs early diagnosis and treatment.

Direct secondary suturing of scrotal defect is the best method of reconstruction.