title: Amputation of the penis and bilateral orchiectomy due to extensive debridement for Fournier's gangrene: case report and review of the literature.
abstract: Fournier's gangrene is a rare disease with rapidly progressive necrotising fasciitis of the genital, perineal and perianal regions and is known to have an impact in the morbidity and the mortality. Despite antibiotics and aggressive debridement, mortality rate is still high. We present a 79-year-old man who was admitted to School of Medicine, Harran University, Sanliurfa, Turkey, with painful swelling of penoscrotal region. Perineal examination revealed the entire perineal skin to be gangrenous, necrotic and foul smelling. Despite the aggressive drainage and broad-spectrum antibiotic therapy, the gangrene progressed rapidly in hours and the patient's general condition worsened. Secondary extensive debridement including bilateral orchiectomy and amputation of the penis was performed. This disease may result in loss of organ such as testes and penis even with sufficient therapy.
authors: Department of Urology, School of Medicine, Harran University, Sanliurfa, Turkey.
authors: Halil
authors: H
authors: Ciftci
authors: Ayhan
authors: A
authors: Verit
authors: Halil
authors: H
authors: Oncel
authors: Adem
authors: A
authors: Altunkol
authors: Murat
authors: M
authors: Savas
authors: Ercan
authors: E
authors: Yeni
authors: Muharrem
authors: M
authors: Bitiren
authors: M Emin
authors: ME
authors: Guldur
mesh_terms: D000368:Aged; D000671:Amputation, Surgical; D017809:Fatal Outcome; D018934:Fournier Gangrene / Q000601:surgery*; D005832:Genital Diseases, Male / Q000601:surgery*; D006801:Humans; D008297:Male; D009919:Orchiectomy; D010413:Penis / Q000601:surgery*