Open Access

RESIDENT’S CORNER

A case of Fournier’s gangrene necessitating total penectomy

Shuvro De, Michael J. Belsante, Timothy J. Tausch, Jay Simhan

Department of Urology, University of Texas Southwestern Medical Center, Dallas, Texas, USA
Address correspondence to Dr. Jay Simhan, Department of Urology, University of Texas Southwestern Medical Center, Dallas, 5323 Harry Hines Boulevard, Dallas, TX 75390 USA

Canadian Journal of Urology 2015, 22(6), 8108-8111.

Abstract

Fournier’s gangrene is an uncommon necrotizing infection affecting the genital and perineal area. Penile involvement in particular is rare owing to its rich vascular supply. In this report, we document a case of Fournier’s gangrene involving penile and urethral tissue requiring multiple debridements resulting in significant penile deformity and a non-healing wound. Eventually, the patient underwent penectomy and perineal urethrostomy creation. In this case, penectomy and perineal urethrostomy provide a functional outcome for highly refractory and complex patients with Fournier’s gangrene involving penile tissue.

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