[Perineo-scrotal gangrene. Analysis of 49 cases].
Perineo-scrotal gangrene is a necrotizing infection of the tissues of the perineum and scrotum. It accounts for 0.6% of our hospitalizations. The commonest etiology is urologic (86% of our cases). A proctologic origin was found in 6%, while the condition appeared to be primary in 8%. Concomitant diseases were found in 37% with diabetes the commonest. The diagnosis is clinically evident. The majority of patients are seen late (5 to 10 days) and the necrotizing process spreads rapidly. This is a multidisciplinary emergency, requiring intensive care, antibiotics, surgical excision of all necrotic tissues and possible urinary and/or fecal diversion. Extensive skin loss requires surgical cutaneous reconstruction procedures. The prognosis is severe, with a 12% mortality rate in our series.
Service d'Urologie, CHU IBN ROCHD, Casablanca, Maroc.
A
A
el Moussaoui
R
R
Aboutaieb
A
A
Joual
M
M
el Mrini
F
F
Meziane
S
S
Benjelloun
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D015897:Comorbidity; D005734:Gangrene / Q000188:drug therapy / Q000453:epidemiology* / Q000209:etiology / Q000601:surgery; D005832:Genital Diseases, Male / Q000188:drug therapy / Q000453:epidemiology / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009018:Morocco / Q000453:epidemiology; D010502:Perineum / Q000473:pathology*; D012611:Scrotum / Q000473:pathology*; D016038:Skin Transplantation; D013524:Surgical Flaps; D015996:Survival Rate; D013997:Time Factors
D000900:Anti-Bacterial Agents
Les gangrènes périnéo-scrotales. Analyse de quarante-neuf cas.