title: Management of Fournier's gangrene: review of 45 cases.
abstract: OBJECTIVE
  Fournier's gangrene is a fatal synergistic infectious disease with necrotizing fasciitis of the perineum and abdominal wall along with the scrotum and penis in men and the vulva in women.
  
  
  METHODS
  The clinical and operative records of 45 patients with Fournier's gangrene during a 14-year period were analyzed.
  
  
  RESULTS
  The etiology of the infection was identified in 39 patients. The most common causes were colorectal diseases and urogenital diseases. Four patients died with an overall mortality of 8.8%. The mortality rate was higher in patients with diabetes mellitus, but it was not statistically different. The age, duration of the symptoms, and the presence of rectal abscess were not found to be significant factors regarding mortality rate.
  
  
  CONCLUSIONS
  Surgery with extensive debridement of all necrotic tissue is the main stay of treatment.
authors.affiliation: Department of General Surgery, School of Medicine, Ataturk University, 25070, Erzurum, Turkey.
authors.forename: Mahmut
authors.initials: M
authors.lastname: Basoglu
authors.forename: Isa
authors.initials: I
authors.lastname: Ozbey
authors.forename: Sabri Selcuk
authors.initials: SS
authors.lastname: Atamanalp
authors.forename: Mehmet Ilhan
authors.initials: MI
authors.lastname: Yildirgan
authors.forename: Bulent
authors.initials: B
authors.lastname: Aydinli
authors.forename: Ozkan
authors.initials: O
authors.lastname: Polat
authors.forename: Gurkan
authors.initials: G
authors.lastname: Ozturk
authors.forename: Kemal
authors.initials: K
authors.lastname: Peker
authors.forename: Omer
authors.initials: O
authors.lastname: Onbas
authors.forename: Durkaya
authors.initials: D
authors.lastname: Oren
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003646:Debridement / Q000379:methods*; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D018934:Fournier Gangrene / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery; D006801:Humans; D015994:Incidence; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010502:Perineum; D015996:Survival Rate; D014057:Tomography, X-Ray Computed; D014421:Turkey / Q000453:epidemiology