el Kamel R, Dahmoul H, el Mansouri F, Mosbah A T
Service d'Urologie, C.H.U., Tunisie.
Prog Urol. 1992 Feb;2(1):72-8.
The authors report 15 cases of gangrene of the perineum and genital organs: 10 patients with urological lesions (urethral stricture: 6 cases, benign prostatic hypertrophy: 3 cases, bladder stones: 1 case) and 5 patients with Fournier's disease. The unexpected recrudescence of this disease, its persistent severity, the limits of our understanding of the pathogenesis and the therapeutic problems involved, led the authors to analyse this series of cases which, despite an apparent diversity of aetiologies, retained common anatomical, bacteriological and therapeutic features. They stress the importance of emergency surgery, appropriate antibiotics and postoperative intensive care. The mortality remains high (5 patients in this series died).
作者报告了15例会阴及生殖器官坏疽病例：10例有泌尿系统病变（尿道狭窄：6例，良性前列腺增生：3例，膀胱结石：1例），5例患有福尼尔坏疽。该疾病意外复发、持续严重、我们对其发病机制理解的局限性以及所涉及的治疗问题，促使作者分析了这一系列病例。尽管病因明显多样，但这些病例在解剖学、细菌学和治疗方面具有共同特征。他们强调急诊手术、适当使用抗生素及术后重症监护的重要性。死亡率仍然很高（本系列中有5例患者死亡）。
