title: USEFULNESS OF FECAL INCONTINENCE CATHETER (Flexi-Seal®) FOR POSTOPERATIVE MANAGEMENT OF EVACUATION IN FOURNIER'S GANGRENE: TWO CASE REPORTS.
abstract: In patients with Fournier's gangrene, massive debridement is necessary. The debrided region is usually near the anus, which means that management of evacuation becomes difficult and a colostomy is often created for diversion of stool. Our two patients were a 72-year-old man with scrotal swelling and disturbance of consciousness and a 65-year-old man with scrotal swelling and fever. In both patients, CT scanning revealed air in the scrotal sac. We diagnosed Fournier's gangrene and operated on both patients immediately. After debridement, we used a fecal incontinence catheter, a Flexi-Seal®to keep the wound clean of stools without creating a colostomy. Both patients recovered without developing wound infection. These cases demonstrate the usefulness of the Flexi-Seal®for management of evacuation in Fournier's gangrene patients after debridement.
authors.affiliation: Department of Urology, Japan Red Cross Nagoya Daini Hospital.
authors.forename: Yushi
authors.initials: Y
authors.lastname: Yamauchi
authors.forename: Shinri
authors.initials: S
authors.lastname: Yoshida
authors.forename: Ryo
authors.initials: R
authors.lastname: Ishida
authors.forename: Toshinori
authors.initials: T
authors.lastname: Nishikimi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Yamada
authors.forename: Keisuke
authors.initials: K
authors.lastname: Yokoi
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Kobayashi
mesh_terms: D000368:Aged; D057785:Catheters; D003646:Debridement; D004630:Emergencies; D005242:Fecal Incontinence / Q000628:therapy*; D018934:Fournier Gangrene / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D011182:Postoperative Care / Q000295:instrumentation*; D011183:Postoperative Complications / Q000628:therapy*; D012611:Scrotum / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D013519:Urogenital Surgical Procedures / Q000379:methods*