[ Ana Sayfa | Editörler | Danışma Kurulu | Dergi Hakkında | İçindekiler | Arşiv | Yayın Arama | Yazarlara Bilgi | E-Posta ]
Fırat Üniversitesi Sağlık Bilimleri Tıp Dergisi
2019, Cilt 33, Sayı 2, Sayfa(lar) 095-099
[ Turkish ] [ Tam Metin ] [ PDF ]
Results of a 8 Years of Clinical Experience in Cases with Fournier’s Gangrene
Tunç OZAN, İrfan ORHAN
Fırat Üniversitesi, Tıp Fakültesi, Üroloji Anabilim Dalı, Elazığ, TÜRKİYE
Keywords: Fournier's gangrene, surgical debridement

Objective: Fournier’s Gangrene is a necrotizing fasciitis caused by aerobic and anaerobic bacteria in the genitalia. This is an important urological emergency which needs urgent intervention. In this study we evaluated the clinical data on emergency records on Fournier’s Gangrene.

Materials and Methods: Data of sixteen Fournier’s Gangrene patients between April 2010 and April 2018 were evaluated. The evaluation criteria were age, co-morbidities, morbidity and mortality rates, isolated microorganism species, complaints and duration, diagnostic tool, the method of treatment and duration of hospital stay.

Results: All patients were male, mean age was 59.5 years and mean duration of the complaints was recorded as 7.8 days. Mean hospital stay was 10.6 days. Most common comorbidity was diabetes mellitus (10, 62.5%) and coronary artery disease (4, 25%). While by 9 scrotum was affected (56.25%), affected area was scrotal and inguinal in 5 (31.25%) and scrotal and perineal in 2 (12.5 %). Diagnosis was made by scrotal and superficial tissue ultrasound by 13 (81.25%) and with lower abdomen MRI in 3 (18.75%). Treatment was debridement and daily wound dressing by 14 and additional orchiectomy in 2 patients. Two of the patients died in the ICU (12.5%) and 14 (87.5%) patients were discharged in good health after secondary suturisation.

Conclusion: Fournier’s Gangrene is a rapidly progressing urgent urological disease which can result in high morbidity and mortality in absence of early diagnosis. Standart treatment modality is urgent surgical debridement and medical treatment with broad spectrum antibiotics in order to prevent serious complications.

[ Turkish ] [ Tam Metin ] [ PDF ]
[ Ana Sayfa | Editörler | Danışma Kurulu | Dergi Hakkında | İçindekiler | Arşiv | Yayın Arama | Yazarlara Bilgi | E-Posta ]