Department of Urology, La Rabta Hospital, Bab Saadoun, Tunis, Tunisia.
J Med Case Rep. 2023 Jan 31;17(1):30. doi: 10.1186/s13256-023-03771-x.
Fournier's gangrene is a rare, fulminant, and usually localized necrotizing soft tissue polymicrobial infection of the perineum, with occasional extension up to the abdominal wall.
We describe an unusual case of penile gangrene in a 64-year-old Tunisian man suffering from urinary incontinence secondary to cerebrovascular accident. Gangrene developed due to continuous tourniquet effect on the penis caused by a condom catheter. Although source control was achieved with aggressive debridement, careful wound care, and wide-spectrum antibiotherapy, the patient died due to septic shock.
Use of condom catheters is not without complications. Careful placement, strict hygiene, and regular monitoring of the local condition are necessary.
Fournier 坏疽是一种罕见的、迅速发展的、通常局限于会阴部的多微生物坏死性软组织感染，偶尔会向上蔓延至腹壁。
我们描述了一例不常见的阴茎坏疽病例，患者为 64 岁突尼斯男性，因脑血管意外导致尿失禁。坏疽是由避孕套导尿管持续对阴茎产生止血带效应引起的。尽管通过积极清创、仔细伤口护理和广谱抗生素治疗控制了感染源，但患者仍因感染性休克而死亡。
避孕套导尿管的使用并非没有并发症。需要小心放置、严格卫生，并定期监测局部情况。
