Gangrène de Fournier : revue de la littérature récente

Sarkis, P.; Farran, F.; Khoury, Ramez; Kamel, Ghassan; Nemr, Elie; Biajini, Jean; Merheje, S.

doi:10.1016/j.purol.2008.09.050

Cited by 44 publications

(29 citation statements)

References 23 publications

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“…However, mortality is still high (20% to 80%), due to delayed diagnosis and management [1]. This work aims to describe the clinical aspects, the management and the prognosis of external genitals gangrene in the Department of Urology and Andrology of the University Hospital of Bobo Dioulasso.…”

Section: Introductionmentioning

confidence: 99%

External Genitalia Gangrene: Clinical, Therapeutic Aspects and Prognosis at University Hospital Souro Sanou of Bobo Dioulasso (Burkina Faso)

Kambou¹,

Ouattara²,

Paré³

et al. 2017

OJU

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Objective: To describe the clinical aspects and the management of external genitalia gangrene in the Urology department of the Bobo Dioulasso CHUSS. Patients and methods: This was a retrospective and descriptive study over a period of 6 years from January 2011 to December 2016, which covered 54 patients hospitalized in the urology department of the University Hospital Souro Sanou for external genitalia gangrene. Results: The mean age of our patients was 53.8 years. The large ulcero-necrosis of scrotum was the main reason for reference. Our patients consulted on average 8.23 days after the onset of symptomatology. A risk factor was found in 44.2% of cases and a cause was identified in 65.3% of patients. A urogenital cause was present in 32.7%. Probabilistic antibiotic therapy and medical reanimation were systematic at admission. Debridement was performed on average 18 hours after admission and 10 patients had more than one debridement. We noted a mortality rate of 5.5%. Conclusion: Fournier's gangrene is a serious infectious disease whose diagnosis is often delayed in our context. Early surgical debridement remains the essential therapeutic gesture to reduce mortality.

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Section: Introductionmentioning

confidence: 99%

External Genitalia Gangrene: Clinical, Therapeutic Aspects and Prognosis at University Hospital Souro Sanou of Bobo Dioulasso (Burkina Faso)

Kambou¹,

Ouattara²,

Paré³

et al. 2017

OJU

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“…FG separates itself from other NSTIs in that it involves the perineum [18][19][20]. Historically, FG was a diagnosis limited to males only [21,22], however, it is now also a diagnosis in women as we now realize that the pathophysiology of the disease is the same [23][24][25]. DM2 is a risk factor that is known to be more strongly linked to FG compared to other NSTIs [26][27][28].…”

Section: Introductionmentioning

confidence: 99%

Clinical comparison of fournier’s gangrene to other necrotizing soft tissue infections

Puckett¹,

Fisher²

2015

Res J Infect Dis

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Background: The purpose of this study was to review key differences between necrotizing soft tissue infections (NSTI) and Fournier's Gangrene (FG) in demographics, comorbidities, laboratory findings, cost, and clinical course. Methods:The burn registry of a Level 1 trauma and burn center in Lubbock, Texas was used to identify and retrospectively review medical records of patients with NSTIs and FG from 2003 to 2012. Bivariate analysis on the FG subgroup was performed and compared to all other NSTI using Fisher's exact test for proportions and Student's t-test to compare continuous variables with equal variance assumed. A p<0.05 was considered to be significant. Results: We found that 133 patients met inclusion criteria. Analysis of data revealed that FG had longer length of hospital stay (p=0.02) and an increased number of operations performed (p=0.01) than other NSTIs. There was also a higher association with diabetes in FG (p=0.03) and polymicrobial infections (p=0.01). Intravenous drug abuse was found to be more associated with NSTIs compared to FG (p=0.03). Conclusion: Our study showed that FG patients have longer length of hospital stay, lower hemoglobin levels, and increased number of operations. NSTIs were more likely to be associated with intravenous drug abuse. There is no difference in rates of mortality between the two groups.

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“…La gangrène des organes génitaux externes (GOGE), appelée également gangrène de Fournier, correspond à une fasciite nécrosante de la région périnéale qui touche majoritairement les hommes de tous âges, exceptionnellement les femmes [1][2][3][4][5].…”

Section: Introductionunclassified

“…Ce traitement est médical d'une part, avec administration d'une large antibiothérapie, et chirurgical d'autre part, avec un débride-ment complet des tissus nécrosés [1,3,5].…”

Section: Introductionunclassified

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Gangrène des organes génitaux externes (GOGE): traitement chirurgical et reconstruction plastique

Dékou

Konan

Gowe

et al. 2011

Basic Clin. Androl.

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Résumé Buts Présenter notre contribution à la reconstruction chirurgicale de la gangrène des organes génitaux externes (GOGE), selon les lésions. Matériel et méthodes Il s’agit d’une étude rétroprospective, portant sur 14 patients traités et guéris dans le service d’urologie du CHU de Cocody à Abidjan, de GOGE entre janvier 2000 et juin 2009. Résultats L’âge moyen des patients était de 39 (20–67) ans. Tous étaient des hommes de race noire. Ils présentaient tous un tableau infectieux traité par une réanimation hydroélectrolytique et une triantibiothérapie. Les lésions cutanées observées intéressaient les organes génitaux externes (OGE) dans neuf cas (64,29 %), puis le scrotum et le périnée dans cinq cas (35,71 %). Toutes les lésions cutanées ont été décapées, suivies de pansements locaux. Ainsi, 14 patients (100 %) ont été guéris, complètement cicatrisés, dont trois cas (21,43 %) de lésions scrotales minimes qui ont cicatrisé spontanément à la suite de pansement uniquement, neuf patients (64,29 %) ont cicatrisé à la suite de suture sans tension de la peau scrotale après débridement, décollement, enfin deux patients (14,28 %) avaient cicatrisé après une greffe de peau mince prélevée à la face interne de la cuisse pour plaie périnéopénoscrotale étendue, d’une part, et, d’autre part, pour une perte complète du fourreau pénien. Conclusion: La GOGE est une affection grave, qui réalise, d’une part, une toxi-infection traitée par une réanimation et une triantibiothérapie, d’autre part, des lésions cutanées plus ou moins étendues nécessitant débridement, décapage, pansement, puis une reconstruction chirurgicale plastique qui restaure un environnement pénoscrotal adéquat qui ne compromette pas la qualité des rapports sexuels ainsi que la fonction de reproduction des testicules, surtout chez le sujet jeune.

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Gangrène de Fournier : revue de la littérature récente

Cited by 44 publications

References 23 publications

External Genitalia Gangrene: Clinical, Therapeutic Aspects and Prognosis at University Hospital Souro Sanou of Bobo Dioulasso (Burkina Faso)

External Genitalia Gangrene: Clinical, Therapeutic Aspects and Prognosis at University Hospital Souro Sanou of Bobo Dioulasso (Burkina Faso)

Clinical comparison of fournier’s gangrene to other necrotizing soft tissue infections

Gangrène des organes génitaux externes (GOGE): traitement chirurgical et reconstruction plastique

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