title: [Gangrenous conditions of the perineum and the genital area. Apropos of 15 cases].
abstract: The authors report 15 cases of gangrene of the perineum and genital organs: 10 patients with urological lesions (urethral stricture: 6 cases, benign prostatic hypertrophy: 3 cases, bladder stones: 1 case) and 5 patients with Fournier's disease. The unexpected recrudescence of this disease, its persistent severity, the limits of our understanding of the pathogenesis and the therapeutic problems involved, led the authors to analyse this series of cases which, despite an apparent diversity of aetiologies, retained common anatomical, bacteriological and therapeutic features. They stress the importance of emergency surgery, appropriate antibiotics and postoperative intensive care. The mortality remains high (5 patients in this series died).
authors.affiliation: Service d'Urologie, C.H.U., Tunisie.
authors.forename: R
authors.initials: R
authors.lastname: el Kamel
authors.forename: H
authors.initials: H
authors.lastname: Dahmoul
authors.forename: F
authors.initials: F
authors.lastname: el Mansouri
authors.forename: A T
authors.initials: AT
authors.lastname: Mosbah
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003646:Debridement; D005734:Gangrene / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology / Q000601:surgery / Q000628:therapy; D005832:Genital Diseases, Male / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010502:Perineum / Q000473:pathology*
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: Les états gangréneux du périnée et de la sphère génitale. A propos de 15 observations.