Gangrena de Fournier con afectación uretral: reepitelización uretral con tratamiento conservador

Pérez, L. Gómez; Oliva, F.J. Delgado; Argente, V. Gimeno; Guzmán, S. Arlandis; Casado, B. Arce; Cruz, F. Jiménez

doi:10.1016/s0210-4806(06)73410-6

Cited by 3 publications

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“…Gómez Pérez et al ., has reported a case of partial sloughing of urethra that was re-epithelized from native urethral tissues. [ 7 ] Lee and Hong has reported an unusual presentation of FG involving the bulbous urethra and forming free gas in the urinary bladder which was successfully managed by urgent, aggressive surgical debridement and urinary diversion. [ 9 ]…”

Section: Discussionmentioning

confidence: 99%

Fournier gangrene with extensive necrosis of urethra and bladder mucosa: A rare occurrence in a patient with advanced prostate cancer

Paonam

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2015

Urol Ann

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Fournier gangrene (FG) is polymicrobial necrotizing infection of subcutaneous tissues and deep fascia, commonly involving the perineum, external genitalia, anterior abdominal wall and medial aspect of thighs. Urethral pathology, although often the inciting factor for FG, extensive involvement with urethral necrosis is very rare. This is the first report in English literature, describing complete sloughing of the bulbar urethra with ischemic necrosis of the bladder mucosa from FG. Such extensive disease is associated with high mortality, despite higher antibiotics, through debridement and intensive care. Urethral involvement needs extensive debridement and temporary or permanent urinary diversion.

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Section: Discussionmentioning

confidence: 99%

Fournier gangrene with extensive necrosis of urethra and bladder mucosa: A rare occurrence in a patient with advanced prostate cancer

Paonam

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2015

Urol Ann

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Gangrena de Fournier: estudio de los factores pronósticos en 90 pacientes

Polo

Sánchez

Kehrmann

et al. 2008

Actas Urológicas Españolas

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Fournier’s gangrene with prostatic and bladder trigone colliquation: a suggested treatment algorithm

et al. 2022

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Fournier’s gangrene (FG) is an infectious necrotising fasciitis of the perineum and genital regions with a high mortality rate. We report the case of a man in his 70s with FG who presented with bladder trigone and prostate colliquation. Bulbar and penile urethra were also injured with multiple fenestrations. Bilateral percutaneous nephrostomy positioning followed by the placement of occluding ureteral catheters preceded the surgical debridement of the necrotic tissues and protective colostomy. There followed periodic sessions of surgical debridement and VAC therapy. The persistent perineal urinary leak required the crafting of a suprapubic surgical cystostomy with bladder neck obliteration through double-layer raphy. The cystostomy maintained the healing tissues free from the constant and damaging urine action. This report describes the successful multistep approach of an FG with deep involvement and colliquation of the bladder neck and prostate reaching the Denonvilliers fascia that ensured the correct healing of tissues.

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Gangrena de Fournier con afectación uretral: reepitelización uretral con tratamiento conservador

Cited by 3 publications

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Fournier gangrene with extensive necrosis of urethra and bladder mucosa: A rare occurrence in a patient with advanced prostate cancer

Fournier gangrene with extensive necrosis of urethra and bladder mucosa: A rare occurrence in a patient with advanced prostate cancer

Gangrena de Fournier: estudio de los factores pronósticos en 90 pacientes

Fournier’s gangrene with prostatic and bladder trigone colliquation: a suggested treatment algorithm

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