Fournier's gangrene: Review of 36 cases

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dc.contributor.authorCaliskan, Selahattin
dc.contributor.authorOzsoy, Emrah
dc.contributor.authorSungur, Mustafa
dc.contributor.authorGozdas, Hasan Tahsin
dc.date.accessioned2024-09-25T19:58:35Z
dc.date.available2024-09-25T19:58:35Z
dc.date.issued2019
dc.departmentAbant İzzet Baysal Üniversitesien_US
dc.description.abstractBACKGROUND: Fournier's gangrene (FG) is a very rare disease in daily urological practice. Despite medical improvements, mortality in FG is still high. Early diagnosis is very important to reduce additional instrumentations and mortality. In this study, we aimed to present the characteristics of the patients with Fournier's gangrene followed in two centers during ten years period. METHODS: The medical records of patients with FG were reviewed retrospectively. The patient characteristics, causative pathogens, laboratory findings and treatment modalities were evaluated. RESULTS: A total of 36 FG cases admitted between January 2008 and February 2018 were included in this study, consisting of 35 male patients, and one female patient with a mean age of 59.27 +/- 12.91 years. The mean duration of hospital stay was 19 +/- 10.44 days. The most common predisposing factor was diabetes mellitus, which was found in 28 patients. Malignancy was detected in three patients; prostate cancer in two patients and chronic lymphoblastic leukemia in one patient. Two patients had liver cirrhosis, and one patient had Behcet's disease and psoriasis. The microbiological agent was isolated from a wound culture in nine patients. After urgent surgical debridement, daily dressing with nitrofurazone (Furacin) was done. Additional debridement was conducted when necessary. Orchiectomy was performed in 10 patients; two of them underwent bilateral orchiectomy. One patient died because of sepsis on the seventh day of hospital admission. CONCLUSION: FG is a life-threatening urological emergency with a high mortality rate. Treatment with broad-spectrum antibiotics and urgent surgery is pivotal for the prevention of mortality.en_US
dc.identifier.doi10.14744/tjtes.2019.30232
dc.identifier.endpage483en_US
dc.identifier.issn1306-696X
dc.identifier.issue5en_US
dc.identifier.pmid31475324en_US
dc.identifier.scopus2-s2.0-85071777574en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage479en_US
dc.identifier.urihttps://doi.org/10.14744/tjtes.2019.30232
dc.identifier.urihttps://hdl.handle.net/20.500.12491/13625
dc.identifier.volume25en_US
dc.identifier.wosWOS:000483463200009en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Assoc Trauma Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzYK_20240925en_US
dc.subjectFournier's gangreneen_US
dc.subjectmorbidityen_US
dc.subjectmortalityen_US
dc.subjectnecrotizing fasciitisen_US
dc.titleFournier's gangrene: Review of 36 casesen_US
dc.typeReview Articleen_US

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