title: Partial penectomy after debridement of a Fournier's gangrene progressing with an isolated penile necrosis.
abstract: Fournier's gangrene (FG) is a rare and often fulminant necrotizing fasciitis of the perineum and genital region frequently due to polymicrobial infection. This truly emergent condition is typically seen in elderly, diabetic and immune compromised patients. Here, we report an unusual case of FG with isolated glans penis necrosis in a diabetic 77-year-old male patient presented to the emergency department complaining 5 days of pain and darkening of the glans penis. Examination of the patient's glans penis was consistent with FG and included significant erythema and infectious discharge. He was given intravenous antibiotics and emergency debridement was done. On following days, the necrotic area spread to distal parts of both cavernosal areas. Partial penectomy was performed. Isolated penile involvement in FG is very rare. Performing partial penectomy in appropriate cases can save penile length, stop the progression of disease, and increase the quality of life.
authors.affiliation: Department of Urology, Haseki Training and Research Hospital, İstanbul, Turkey. drfakbulut@hotmail.com.
authors.forename: Fatih
authors.initials: F
authors.lastname: Akbulut
authors.affiliation: Department of Urology, Haseki Training and Research Hospital, İstanbul, Turkey.
authors.forename: Onur
authors.initials: O
authors.lastname: Kucuktopcu
authors.affiliation: Department of Urology, Haseki Training and Research Hospital, İstanbul, Turkey.
authors.forename: Erkan
authors.initials: E
authors.lastname: Sonmezay
authors.affiliation: Department of Urology, Haseki Training and Research Hospital, İstanbul, Turkey.
authors.forename: Abdulmuttalip
authors.initials: A
authors.lastname: Simsek
authors.affiliation: Department of Urology, Haseki Training and Research Hospital, İstanbul, Turkey.
authors.forename: Faruk
authors.initials: F
authors.lastname: Ozgor
authors.affiliation: Department of Urology, Haseki Training and Research Hospital, İstanbul, Turkey.
authors.forename: Zafer Gokhan
authors.initials: ZG
authors.lastname: Gurbuz
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003646:Debridement; D003924:Diabetes Mellitus, Type 2; D003937:Diagnosis, Differential; D018934:Fournier Gangrene / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D009336:Necrosis / Q000473:pathology / Q000601:surgery; D010409:Penile Diseases / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D010413:Penis / Q000473:pathology / Q000601:surgery*; D011788:Quality of Life
chemical_list: D000900:Anti-Bacterial Agents