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    1 OF 17

    Necrotizing Fasciitis in Aesthetic Surgery: A Review of the Literature.
    Aesthetic Plast Surg 2017 Jan 7. Epub 2017 Jan 7.
    Dipartimento di Chirurgia Plastica Ricostruttiva, I.R.C.C.S. Policlinico San Donato, Università degli Studi di Milano, Via Morandi, 30, 20097, San Donato Milanese, Milan, Italy.
    Introduction: Necrotizing fasciitis (NF) is a rare, potentially fatal, infective complication that can occur after surgery. Diagnosis is still difficult and mainly based on clinical data. Only a prompt pharmacological and surgical therapy can avoid dramatic consequences. Read More

    Long-term follow-up of Fournier's Gangrene in a tertiary care center.
    J Surg Res 2016 Nov 15;206(1):175-181. Epub 2016 Jul 15.
    Division of Trauma, Acute Care Surgery, Surgical Critical Care, LAC + USC Medical Center, Los Angeles, CA. Electronic address:
    Background: After surgical debridement, the use of fecal diversion systems (such as an endo-rectal tube or surgical colostomy) in Fournier's Gangrene (FG) to assist with wound healing remains controversial.

    Methods: A 6-y retrospective review of a tertiary medical center emergency surgery database was conducted. Variables abstracted from the database include patient demographics, laboratory and physiological profiles, hospital length-of-stay, intensive care unit length-of-stay, operative data, time to healing, morbidity, and mortality. Read More

    Fournier Gangrene Caused by Candida albicans in an Infant After Cardiac Surgery.
    Mycopathologia 2016 Nov 2. Epub 2016 Nov 2.
    Department of Pediatric Cardiac Surgery, Copernicus Hospital in Gdansk, Al. Jana Pawla II 50, 80-462, Gdansk, Poland.
    Fournier gangrene is a rare, rapidly progressive, life-threatening condition. We report a 23-day-old boy with pulmonary atresia and ventricular septal defect treated surgically, who developed Fournier gangrene. Emergency surgery was performed with tissue sampling for microbiological examination. Read More

    [Acute scrotal swellings at Louga Regional Hospital, Senegal: epidemiologic, etiologic and therapeutic aspects].
    Pan Afr Med J 2016 12;24:214. Epub 2016 Jul 12.
    Service de Chirurgie, CHR Amadou Sakhir MBaye de Louga, Sénégal.
    Introduction: Acute scrotal swellings (ASS) are a common reason for emergency consultation. This study aims to determine the frequency of hospitalization for ASS at the Louga Amadou Sakhir Mbaye Regional Hospital, Senegal, to identify its clinical forms and to evaluate the care management.

    Methods: This is a retrospective descriptive study involving 114 patients hospitalized for ASS at the Louga Amadou Sakhir Mbaye regional hospital, from May 2010 to August 2013. Read More

    Fournier's gangrene: Clinical case and review of the literature.
    Arch Ital Urol Androl 2016 Oct 5;88(3):237-238. Epub 2016 Oct 5.
    UO Urology, Santa Maria delle Croci Hospital, Ravenna.
    Fournier's gangrene is a life-threatening acute necrotizing fasciitis of perianal,genitourinary and perineal areas. Nowadays, is well known that Fournier gangrene is almost never an idiopathic disease. In this article we report a case of a 70-year-old patient that initially was not treated properly. Read More

    Fournier's gangrene. A clinical review.
    Arch Ital Urol Androl 2016 Oct 5;88(3):157-164. Epub 2016 Oct 5.
    MRC Centre for Transplantation, King's College London; Department of Urology, Guy's and St. Thomas' NHS Foundation Trust - King's Health Partners, London.
    Introduction And Hypothesis: Fournier's gangrene is a rare, necrotising fasciitis of the external genitalia, perineal or perianal regions. The disease has a higher incidence in males and risk factors for development include diabetes, HIV, alcoholism and other immune-compromised states. The aggressive disease process is associated with a high mortality rate of 20-30%. Read More

    Fournier's gangrene associated with chronic kidney disease in a dog.
    Can Vet J 2016 Oct;57(10):1057-1061
    Department of Veterinary Internal Medicine, Konkuk University Veterinary Medical Teaching Hospital, #120 Neungdong-ro, Gwangjin-gu, Seoul, 143-701, South Korea.
    A dog was diagnosed with Fournier's gangrene associated with chronic kidney disease. Clinical features included crepitant scrotal inflammation that spread to the penis; the lesion exhibited liquefactive necrosis or purulent moist gangrene. This is the first description of Fournier's gangrene associated with chronic kidney disease in a dog. Read More

    Shewanella-Related Bacteremia and Fournier's Gangrene: A Case Report.
    Open Forum Infect Dis 2016 Sep 13;3(3):ofw148. Epub 2016 Jul 13.
    Departments of Medicine.
    Shewanella algae and Shewanella putrefaciens have been implicated for causing serious infections in humans, including disseminated infection. We report the possible first case of Shewanella-related Fournier's gangrene and bacteremia caused in a 65-year-old Chinese male with nephrotic syndrome. He was successfully managed by surgical debridement and antibiotic therapy. Read More

    Management of equivocal (early) Fournier's gangrene.
    Ther Adv Urol 2016 Oct 28;8(5):297-301. Epub 2016 Jun 28.
    Urology Department, Farwaniya Hospital, Kuwait.
    Background: Fournier's gangrene (FG) is an acute progressive necrotizing fasciitis of the genital area and perineum with possible extension to the abdominal wall. Surgical debridement is the gold standard management modality of established patients. Equivocal (early) FG represents a challenge in diagnosis. Read More

    Contemporary Trends in the Inpatient Management of Fournier's Gangrene: Predictors of Length of Stay and Mortality Based on Population-Based Sample.
    Urology 2016 Sep 27. Epub 2016 Sep 27.
    Department of Urology, University of Oklahoma College of Medicine, Oklahoma City, Oklahoma.
    Objective: To describe clinical management of Fournier's gangrene, and to characterize predictive factors associated with inpatient mortality and extended hospital stay.

    Materials And Methods: The National Inpatient Sample was queried from 2004 to 2012 based on ICD-9-CM procedural and diagnosis codes. Patients admitted for Fournier's gangrene who underwent debridement were selected. Read More

    Anorectal emergencies.
    World J Gastroenterol 2016 Jul;22(26):5867-78
    Varut Lohsiriwat, Division of Colon and Rectal Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.
    Anorectal emergencies refer to anorectal disorders presenting with some alarming symptoms such as acute anal pain and bleeding which might require an immediate management. This article deals with the diagnosis and management of common anorectal emergencies such as acutely thrombosed external hemorrhoid, thrombosed or strangulated internal hemorrhoid, bleeding hemorrhoid, bleeding anorectal varices, anal fissure, irreducible or strangulated rectal prolapse, anorectal abscess, perineal necrotizing fasciitis (Fournier gangrene), retained anorectal foreign bodies and obstructing rectal cancer. Sexually transmitted diseases as anorectal non-surgical emergencies and some anorectal emergencies in neonates are also discussed. Read More

    Is hemoglobin A1c level effective in predicting the prognosis of Fournier gangrene?
    Urol Ann 2016 Jul-Sep;8(3):343-7
    Department of Plastic and Reconstructive Surgery, Gaziantep University, Gaziantep, Turkey.
    Objectives: To evaluate the effect of immune failure and/or diabetes mellitus (DM) association on the mortality and morbidity of the Fournier's Gangrene (FG), and interrelatedly, the usability of HbA1c level in the prediction of prognosis.

    Materials And Methods: The data of 38 patients with the diagnosis of FG were investigated retrospectively. The patients were divided into two groups as patients with DM (Group 1, n = 18) and non-diabetics (Group 2, n = 20). Read More

    Necrotizing soft tissue infection: analysis of the factors related to mortality in 30 cases of a single institution for 5 years.
    Ann Surg Treat Res 2016 Jul 30;91(1):45-50. Epub 2016 Jun 30.
    Department of Surgery, Postgraduate School of Medicine, Pusan National University, Busan, Korea.
    Purpose: Necrotizing soft tissue infection is the infection of the soft tissue with necrotic changes. It is rare, but results in high mortality. We analyzed the characteristics of patients, prognosis, and mortality factors after reviewing 30 cases of a single hospital for 5 years. Read More

    [A Case of Fournier's Gangrene Caused by Small Intestinal Perforation during Bevacizumab Combination Chemotherapy].
    Gan To Kagaku Ryoho 2016 Jul;43(7):909-11
    Dept. of Surgery, Saiseikai Utsunomiya Hospital.
    A 51-year-old man underwent abdominoperineal resection for advanced rectal cancer at a hospital. He attended our outpatient clinic 58 months later with pain in the external genitalia, and was diagnosed with local pelvic recurrence and metastasis to the para-aortic lymph node and both adrenal glands. He received a total of 30 Gy of radiation for analgesia; subsequently, chemotherapy(mFOLFOX6 plus bevacizumab)was initiated. Read More

    Fournier's gangrene: a fulminant subcutaneous infection.
    Acta Chir Belg 2016 May 26:1-6. Epub 2016 May 26.
    d Department of Emergency , University Hospital Antwerp , Edegem , Belgium.
    A 73-year-old man with a history of diabetes was urgently referred to our emergency department because of severe pain of his genitalia and pubical region. Physical examination revealed an extensive subcutaneous emphysema and edema of his abdomen. Computer tomography confirmed an extensive necrotizing fasciitis, diagnosed as Fournier's gangrene. Read More

    Critical Manifestations of Pneumoscrotum.
    Curr Urol 2016 May 20;9(2):62-6. Epub 2016 May 20.
    Department of Physiology and BiophysicsSUNY at Stony Brook, New York, N.Y., USA; Department of Urology, SUNY at Stony Brook, New York, N.Y., USA.
    Introduction: Pneumoscrotum is a critical, physical finding that may indicate significant morbidity and mortality. Accumulation of gas in the scrotum can be primary or secondary.

    Objective: This paper discusses rapid diagnosis and treatment options. Read More

    Total Phallic Reconstruction Using the Radial Artery Based Forearm Free Flap After Traumatic Penile Amputation.
    J Sex Med 2016 Jul;13(7):1119-24
    St. Peter's Andrology Centre and the Institute of Urology, University College London Hospitals, London, United Kingdom. Electronic address:
    Introduction: Although genital injuries in civilian centers are rare, the scenario is completely different in the battlefield. If the penile distal stump is not adequate for primary reimplantation or it cannot be found, then delayed penile reconstruction needs to be considered.

    Aim: To report a single-center experience with total phallic reconstruction using radial artery based forearm free flap (RAFFF) after penile traumatic loss. Read More

    The Need to Feed: Balancing Protein Need in a Critically Ill Patient With Fournier's Gangrene.
    Nutr Clin Pract 2016 Jun 13. Epub 2016 Jun 13.
    James A. Haley Veterans' Hospital, Tampa, Florida, USA University of South Florida, Tampa, Florida, USA.
    Necrotizing soft tissue injury (NSTI) is rare with an impressively difficult and dangerous clinical course. While the importance of nutrition as part of the treatment plan for NSTI is recognized as essential to recovery, specific recommendations have not been elucidated. A review of the evidence-based guidelines and published research to accomplish wound healing is presented. Read More

    Urologic Emergencies.
    Surg Clin North Am 2016 Jun;96(3):407-24
    Division of Urology, Maine Medical Center, Tufts University School of Medicine, 100 Brickhill Ave., South Portland, Maine 04106, USA. Electronic address:
    The diagnosis and management of urologic emergencies are incorporated into the basic training of all urology residents. In institutions without access to urologic services, it is usually left to the General Surgeon or Emergency Medicine physician to provide timely care. This article discusses diagnoses that are important to recognize and treatment that is practically meaningful for the non-Urologist to identify and treat. Read More

    Fungal infections in children in the early postoperative period after cardiac surgery for congenital heart disease: a single-centre experience.
    Interact Cardiovasc Thorac Surg 2016 Sep 24;23(3):431-7. Epub 2016 May 24.
    Department of Surgical Oncology, Medical University of Gdansk, Gdansk, Poland.
    Objectives: Postoperative infections are still an important problem in cardiac surgery, especially in the paediatric population, and may influence the final outcome of congenital heart disease treatment. Postoperative infections with fungi are uncommon. The aetiology is poorly understood, and the proper diagnosis and treatment is unclear. Read More

    Case of anal fistula with Fournier's gangrene in an obese type 2 diabetes mellitus patient.
    J Diabetes Investig 2016 Mar 31;7(2):276-8. Epub 2015 Jul 31.
    Department of Surgery Shin-suma General Hospital Kobe Japan.
    A 64-year-old man was admitted to Shin-suma General Hospital, Kobe, Japan, complaining of a 3-day history of scrotal swelling and high fever. He had type 2 diabetes mellitus. On examination, his body temperature had risen to 38. Read More

    [Emergencies of the external genital area].
    Urologe A 2016 Apr;55(4):444-53
    Klinik für Urologie, Kliniken Maria Hilf GmbH, Viersener Str. 450, 41063, Mönchengladbach, Deutschland.
    Background: In addition to epididymitis and testicular torsion, emergencies of the external genital are rare. Rapid diagnosis and therapy are essential so that immediate therapy can be provided, which is important for survival (Fournier gangrene) of the patient or for the preservation of erectile function (priapism and penile fracture). A detailed patient history and clinical examination are generally sufficient for correct diagnosis. Read More

    Evaluation of LRINEC Scale Feasibility for Predicting Outcomes of Fournier Gangrene.
    Surg Infect (Larchmt) 2016 Aug 29;17(4):448-53. Epub 2016 Mar 29.
    1 Department of Urology, Medical Academy, Lithuanian University of Health Sciences , Kaunas, Lithuania .
    Background: Fournier gangrene (FG) is a fulminant necrotizing infection of the perineal, perianal, and periurethral tissues. The Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) scale is used for diagnosis of necrotizing fasciitis. However, data on its relevance and usefulness in FG are lacking. Read More

    Complicated Genitourinary Tract Infections and Mimics.
    Curr Probl Diagn Radiol 2017 Jan - Feb;46(1):74-83. Epub 2016 Feb 11.
    Mallinckrodt Institute of Radiology, St. Louis, MO.
    This article provides pictorial review of complicated upper and lower genitourinary infections and their mimics. Imaging features of upper urinary tract infections including uncomplicated acute pyelonephritis, xanthogranulomatous pyelonephritis (XGPN), emphysematous pyelonephritis, perirenal abscess, and pyonephrosis are first reviewed and then followed by pictorial review of their mimics including contrast-associated nephrotoxicity, renal infarcts, malakoplakia, renal cell cancer, leukemia or lymphoma and Castleman's disease. Next, imaging features of lower urinary tract infections including cystitis, emphysematous cystitis, enterovesical, colovesical and vesicovaginal fistulas, Fournier gangrene, prostatitis, epididymitis, and orchitis are reviewed and then followed by pictorial review of their mimics including gas in the bladder and perineum related to instrumentation, radiation cystitis, bladder cancer, testicular torsion, testicular trauma, and testicular cancer and lymphoma. Read More

    Neutrophil to Lymphocyte and Platelet to Lymphocyte Ratios Are More Effective than the Fournier's Gangrene Severity Index for Predicting Poor Prognosis in Fournier's Gangrene.
    Surg Infect (Larchmt) 2016 Apr 2;17(2):217-23. Epub 2016 Feb 2.
    Department of Urology, Chonnam National University Medical School , Gwangju, Korea.
    Background: We investigated the value of the neutrophil to lymphocyte ratio (NLR) and platelet to lymphocyte ratio (PLR) as markers of mortality in patients with Fournier's gangrene.

    Methods: Records from 62 patients treated for Fournier's gangrene between 2003 and 2014 were reviewed retrospectively. Data were collected regarding medical history, symptoms, physical examination findings, admission laboratory tests, and the extent of body surface area involved (%). Read More

    [A Case of Rectal Carcinoma with Recurrence around the Drainage Site Complicated by Fournier's Gangrene].
    Gan To Kagaku Ryoho 2015 Nov;42(12):2291-3
    Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences.
    A 71-year-old woman diagnosed with Fournier's gangrene caused by penetration of a rectal carcinoma was referred to our hospital. Emergency drainage and sigmoid colostomy were performed. Pathological examination of a biopsy sample showed moderately differentiated tubular adenocarcinoma. Read More

    Ectopic Hydrocele After Testicular Transposition.
    Urology 2016 Apr 19;90:e9-13. Epub 2016 Jan 19.
    Division of Plastic and Reconstructive Surgery, University of Maryland Medical Center, Baltimore, MD.
    A 55-year-old man was treated for Fournier gangrene in 2004 with radical debridement and bilateral testicular transposition to the medial thighs. Eight years later, bilateral hydroceles formed. After conservative measures failed for treatment of the hydroceles, the condition was treated during desired testicular relocation, and creation of a neoscrotum. Read More

    Fungal Fourniers Gangrene in an Immunocompromised Patient.
    Urol Case Rep 2016 Jan 9;4:1-3. Epub 2015 Dec 9.
    Department of Surgery, University of Texas Medical Branch, 301 University Blvd., Galveston, TX 77555, USA.
    Fournier's Gangrene is a rapidly progressive necrotizing fasciitis of the groin, perianal and perineal region that is often polymicrobial in nature, often averaging 3 species of bacteria per patient. The typical infection can be due to a host of microbes, including gram positive, gram negative and anaerobic species including. Many of the causative organisms are found in the normal microbial flora of the perineum. Read More

    Scrotal reconstruction with modified pudendal thigh flaps.
    J Plast Reconstr Aesthet Surg 2016 Feb 18;69(2):278-83. Epub 2015 Nov 18.
    St Andrew's Centre for Plastic Surgery, Essex, UK. Electronic address:
    Scrotal skin loss can occur following trauma, Fournier's gangrene, post tumour excision, burns, etc. There are many techniques described in the literature including residual scrotal skin mobilization, skin grafts, pedicled and free flaps. The management is complex and challenging shown by the multiplicity of flaps and techniques described in the literature. Read More

    Fournier's gangrene (necrotising fasciitis) complicated by renal and respiratory insufficiency: a case report.
    J Wound Care 2016 Jan;25(1):34, 36-8
    Clinic of Burns and Reconstructive Surgery, 1st Private Hospital, Kosice-Saca, Slovakia.
    A case report of a 68-year-old male obese diabetic patient with an abscess of left femoral region, and diffuse inflammation of abdominal wall and genital region developing sepsis, respiratory and renal failure. At admission in the regional hospital a diagnosis of polymicrobial necrotising fasciitis with suspected sepsis was declared. The patient was transferred to the special intensive care unit (SICU) of Burns and reconstructive surgery at the Kosice-Saca. Read More

    Comparison of Diverting Colostomy and Bowel Management Catheter Applications in Fournier Gangrene Cases Requiring Fecal Diversion.
    Indian J Surg 2015 Dec 27;77(Suppl 2):438-41. Epub 2013 Jan 27.
    Department of Biostatistics, Cukurova University Medical Faculty, 01260 Saricam, Adana, Turkey.
    In some patients of Fournier gangrene originated from perianal region, it is important to prevent fecal contamination in order to provide healing without wound infection. For this purposes, diverting colostomy or bowel management catheter methods were performed. In this study, it is aimed to carry out a comparison of prognosis and cost efficiency between diverting colostomy and bowel management catheter methods applied for preventing fecal contamination in Fournier's gangrene patients. Read More

    [A Case of Pyoderma Gangrenosum of the Penis Difficult to Distinguish from Fournier Gangrene].
    Hinyokika Kiyo 2015 Nov;61(11):459-63
    The Department of Urology, Kansai Medical University, Hirakata Hospital.
    Here, we report a case of pyoderma gangrenosum of the penis which was difficult to distinguish from Fournier gangrene. The patient was a 54-year-old male who was aware of redness and swelling of the glanspenis for 1 month prior to a consultation at our department. Although he was diagnosed with herpes and treated at a nearby hospital, his symptoms did not improve. Read More

    Fournier gangrene with extensive necrosis of urethra and bladder mucosa: A rare occurrence in a patient with advanced prostate cancer.
    Urol Ann 2015 Oct-Dec;7(4):507-9
    Department of Urology, Max Super Speciality Hospital, Mohali, Punjab, India.
    Fournier gangrene (FG) is polymicrobial necrotizing infection of subcutaneous tissues and deep fascia, commonly involving the perineum, external genitalia, anterior abdominal wall and medial aspect of thighs. Urethral pathology, although often the inciting factor for FG, extensive involvement with urethral necrosis is very rare. This is the first report in English literature, describing complete sloughing of the bulbar urethra with ischemic necrosis of the bladder mucosa from FG. Read More

    A case of Fournier's gangrene necessitating total penectomy.
    Can J Urol 2015 Dec;22(6):8108-11
    Department of Urology, University of Texas Southwestern Medical Center, Dallas, Texas.
    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. Read More

    Economic outcomes in clinical studies assessing hyperbaric oxygen in the treatment of acute and chronic wounds.
    Diving Hyperb Med 2015 Dec;45(4):228-34
    Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands.
    Introduction: Hyperbaric oxygen treatment (HBOT) is used to treat acute and chronic wounds. This systematic review was conducted to summarise and evaluate existing evidence on the costs associated with HBOT in the treatment of wounds.

    Methods: We searched multiple electronic databases in March 2015 for cohort studies and randomised clinical trials (RCTs) that reported on the clinical effectiveness and treatment costs of HBOT in the treatment of acute or chronic wounds. Read More

    Commentary: Hyperbaric oxygen treatment for wounds - evidence and the Sword of Damocles.
    Diving Hyperb Med 2015 Dec;45(4):218
    Technical and Research Director, Clinical Hyperbaric Facility, Hull and East Riding Hospital, Anlaby, UK E-mail:
    Increased access to any treatment sensibly follows the clinical and cost benefit being established. For many treatments this requires multiple, high-quality clinical trials and supporting cost analysis. Cost analysis may be applied to a single treatment or used to compare two or more treatments. Read More

    Hyperbaric Oxygen Therapy for the Treatment of Fournier's Gangrene: A Review of 34 Cases.
    Acta Med Port 2015 Sep-Oct;28(5):619-23. Epub 2015 Oct 30.
    Centro de Medicina Subaquática e Hiperbárica da Marinha. Lisboa. Portugal.
    Introduction: Fournier's gangrene is a serious necrotizing infection that can be fatal if not promptly attended. Treatment for this condition consists of a combination of surgical debridement, antibiotherapy and supportive care. Hyperbaric oxygen therapy is used as an adjuvant for the optimization of infected tissue oxygenation and for its bactericidal and bacteriostatic effects. Read More

    [Reconstructive methods after Fournier gangrene].
    Urologe A 2016 Apr;55(4):484-8
    Klinik für Plastische Chirurgie und Schwerbrandverletzte, Handchirurgiezentrum, Operatives Referenzzentrum für Gliedmaßentumoren, BG-Universitätsklinikum Bergmannsheil Bochum, Bürkle-de-la-Camp-Platz 1, 44789, Bochum, Deutschland.
    Background: Fournier's gangrene is a variant of the necrotizing fasciitis restricted to the perineal and genital region. It presents as an acute life-threatening disease and demands rapid surgical debridement, resulting in large soft tissue defects. Various reconstructive methods have to be applied to reconstitute functionality and aesthetics. Read More

    Fournier's gangrene due to perioperative iatrogenic colon perforation in a renal transplant recipient.
    Saudi J Kidney Dis Transpl 2015 Nov;26(6):1257-61
    First Department of Surgery and Transplant Unit, Evaggelismos General Hospital, Athens, Greece.
    Fournier's gangrene is not a common cause of morbidity in renal transplant recipients, but, if it occurs, it is difficult to treat because of the immunosuppression and associated increased mortality rate. We describe the case of a male patient who underwent renal transplantation with complicated post-operative course, resulting in cecum perforation (thermal injury due to cautery use during transplantation) requiring exploratory laparotomy and cecostomy. A few days later, he developed Fournier's gangrene and urgent radical surgical debridement of the scrotum was performed, along with aggressive antibiotic regimen and the immunosuppressive treatment was modified. Read More

    Isolated Penile Fournier's Gangrene Presenting with Glans Penis Involvement.
    J Coll Physicians Surg Pak 2015 Oct;25 Suppl 2:S140-1
    Department of Urology, Bagcilar Training and Research Hospital, Merkez Mahallesi Mimar Sinan Caddesi 6 Sokak, Bagcilar/Istanbul, Turkey.
    Fournier's Gangrene (FG) is a type of necrotizing infection or gangrene usually affecting the perineum. Penile gangrene is a rare disease because of rich collateral circulation and blood flow in the perineum and lower abdomen. We report an unusual and rare presentation of FG with isolated glans penis necrosis in a 62-year-old man. Read More

    Low magnesium levels an important new prognostic parameter can be overlooked in patients with Fournier's gangrene: a multicentric study.
    Int Urol Nephrol 2015 Dec 22;47(12):1939-45. Epub 2015 Oct 22.
    Department of Urology, Istanbul Medeniyet University Faculty of Medicine, Dr. Erkin Cad. Istanbul Medeniyet Universitesi Goztepe Eğitim Arastirma Hastanesi, Kadikoy/Istanbul, Turkey.
    Introduction: We evaluated low magnesium levels and three different scoring systems including the Fournier's Gangrene Severity Index (FGSI), the Uludag Fournier's Gangrene Severity Index (UFGSI), and the Charlson Comorbidity Index (CCI) for predicting mortality in a multicentric, large patient population with FG.

    Methods: The medical records of 99 FG patients who were treated and followed up in different clinics were reviewed. The biochemical, hematological, and bacteriological results from the admission evaluation were recorded. Read More

    [Different scoring systems to evaluate the prognosis of Fournier's gangrene: A comparative study].
    Zhonghua Nan Ke Xue 2015 Aug;21(8):720-3
    Objective: To sum up the experience in diagnosis and treatment of Fournier's gangrene and find an optimal evaluation tool for its prognosis by comparing currently used prognostic scoring systems.

    Methods: We retrospectively analyzed 16 cases of Fournier's gangrene diagnosed and surgically treated in our hospital between 2004 and 2012. Using Fournier's Gangrene Severity Index (FGSI), Uludag Fournier's Gangrene Severity Index (UFGSI), Age-Adjusted Charlson Comorbidity Index (ACCI), and Surgical Apgar Score (sAPGAR) , we obtained the prognostic scores of the patients and made comparisons among different scoring systems. Read More

    Fournier's gangrene at a tertiary health facility in northwestern Tanzania: a single centre experiences with 84 patients.
    BMC Res Notes 2015 Sep 28;8:481. Epub 2015 Sep 28.
    Department of Urology, Bugando Medical Centre, Mwanza, Tanzania.
    Background: Fournier's gangrene (FG) is a rare, rapidly progressive, necrotizing fasciitis of the external genitalia and perineum, leading to soft-tissue necrosis. Despite antibiotics and aggressive debridement, the mortality rate of FG remains high. This study describes our experiences in the management of FG and identifies prognostic factors. Read More

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