Fournier's gangrene: Experience with 25 patients and use of Fournier's gangrene severity index score

Are neutrophil-lymphocyte ratio and platelet-lymphocyte ratio as effective as Fournier's gangrene severity index for predicting the number of debridements in Fourner's gangrene?

“…Old age itself is not a predisposing factor, but those with poor self-care and poor nutritional status are more susceptible to the disease and have a poor prognosis. [12] In the present study, no difference in prognosis was observed in the older patient group. Five patients died during the study.…”

Fournier’s Gangrene

“…Laor et al established a prognostic index, the FGSI [Fournier's Gangrene Severity Index] to determine the severity and prognosis of the disease in their patients [10,13].This index was validated by Yeniyol and Tuncer [10,14,15]. The parameters used in the FGSI are: temperature, heart rate, respiratory rate, serum sodium, serum potassium, serum creatinine, serum bicarbonate, haematocrit and white blood cell count.…”

“…Laor et al found that patients with FGSI score >9 had a 75% probability of death, and that those with FGSIS ≤ 9 had a 78% probability of survival [13]. In studies by Yeniyol et al and Ulug et al, there was a strong correlation between an FGSI score of 9 and the mortality rate [p ≤ 0.0001] [14,15]. Janane et al Reported that the differences between survivors' FGSI scores and non-survivors' FGSI scores were not significant [16].…”

Fournier’s gangrene — Not a stigma for surgery with newer surgical reconstruction of scrotum

“…which includes necrotizing fasciitis of the male genital parts that needs early diagnosis and aggressive treatment with the use of wide spectrum antibiotics [5] and surgical debridement [6].…”