title: [Fournier's gangrene secondary to urethral catheterization].
abstract: OBJECTIVE
  We report one case of Fournier's gangrene secondary to urethral catheterization.
  
  
  METHODS
  We describe the clinical case, in which the initial cause was identified, and perform a short bibliographic review.
  
  
  RESULTS
  Although Fournier's gangrene was initially considered as idiopathic in etiology, currently it is possible to identify the entrance site of the infection. In the present case the insertion of a urethral catheter was the starting mechanism, associated with factors such as diabetes and alcoholism which favour its development. The patient was treated by surgical debridement and partial urethrectomy but finally died.
  
  
  CONCLUSIONS
  We want to point out that urethral instrumentation should be done by expert hands due to the severity of possible complications. We should insist in the need of precocious treatment with wide spectrum antibiotics, radical debridement and complete urologic evaluation.
authors.affiliation: Servicios de Urología, Hospital del Bierzo, Fuentesnuevas-Ponferrada, León, España.
authors.forename: José Carlos
authors.initials: JC
authors.lastname: López Pacios
authors.forename: José María
authors.initials: JM
authors.lastname: Sánchez Merino
authors.forename: M Carmen
authors.initials: MC
authors.lastname: Piñeiro Fernández
authors.forename: M
authors.initials: M
authors.lastname: Bouso Montero
authors.forename: Luis
authors.initials: L
authors.lastname: Parra Muntaner
authors.forename: Jesús
authors.initials: J
authors.lastname: García Alonso
mesh_terms: D018934:Fournier Gangrene / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014521:Urethra; D014546:Urinary Catheterization / Q000009:adverse effects*