title: A case of Fournier's gangrene necessitating total penectomy.
abstract: Fournier's gangrene is an uncommon necrotizing infection affecting the genital and perineal area. Penile involvement in particular is rare owing to its rich vascular supply. In this report, we document a case of Fournier's gangrene involving penile and urethral tissue requiring multiple debridements resulting in significant penile deformity and a non-healing wound. Eventually, the patient underwent penectomy and perineal urethrostomy creation. In this case, penectomy and perineal urethrostomy provide a functional outcome for highly refractory and complex patients with Fournier's gangrene involving penile tissue.
authors.affiliation: Department of Urology, University of Texas Southwestern Medical Center, Dallas, Texas.
authors.forename: Shuvro
authors.initials: S
authors.lastname: De
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Belsante
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Tausch
authors.forename: Jay
authors.initials: J
authors.lastname: Simhan
mesh_terms: D003646:Debridement; D018934:Fournier Gangrene / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010030:Ostomy; D010409:Penile Diseases / Q000601:surgery*; D010413:Penis / Q000601:surgery*; D014522:Urethral Diseases / Q000601:surgery*