Fournier's gangrene a urological emergency

ABSTRACT

A retrospective study to collect data about Fournier's gangrene done in Surgical-IV Liaquat Medical College Hospital Jamshoro/Hyderabad. During five years period from January 1994 to December 1998, thirty cases were collected with median age of 53 years. Pain, fever, erythema and swelling of the genitalia were present in all cases. The crepitus was found in fifteen cases and 33.3 percent patients developed multiple organ failure. The cause of infection was urological in 90 percent cases and anorectal in 10 percent cases. Associated systemic diseases were diabetes mellitus in 66.7 percent, uraemia 86.7 percent, cardiac failure in 33.3 percent cases and hepatic failure in 10 percent cases. The operations done were debridements in all cases, cystostomy in 83.3 percent and colostomy in 6.7 percent cases. Twenty patients [67 percent] died due to multiple organ failure