Blasco de Villalonga M, Llarena Ibarguren R, Acha Pérez M, Albisu Tristán A, Vesga Molina F, Arruza Echebarria A, Zabala Egurrola J A, Pertusa Peña C
Servicio de Urología, Hospital de Cruces, Bilbao, Vizcaya, España.
Arch Esp Urol. 1993 Apr;46(3):181-5.
Fournier's gangrene is an infectious necrotizing cellulitis of the penis and/or perineoscrotal region, which rapidly progresses and carries a high mortality. Eleven cases of Fournier's gangrene that had undergone an emergency procedure from 1985 to 1992 are described. Excellent results were achieved, with a survival rate of 91%. In our view, treatment of this disease entity is fundamentally based on early diagnosis, wide radical debridement of the affected area, frequent local treatment, debridement at the least sign of recurrence and early antibiotic therapy with three agents.