[Fournier's gangrene secondary to urethral catheterization].
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.
López Pacios
José Carlos
JC
Servicios de Urología, Hospital del Bierzo, Fuentesnuevas-Ponferrada, León, España.
Sánchez Merino
José María
JM
Piñeiro Fernández
M Carmen
MC
Bouso Montero
M
M
Parra Muntaner
Luis
L
García Alonso
Jesús
J
D018934:Fournier Gangrene / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014521:Urethra; D014546:Urinary Catheterization / Q000009:adverse effects*