Urol. praxi, 2011; 12(4): 234-237

Fournier gangrene in present urological practice

MUDr.Ivan Kolombo, FEBU¹, MUDr.Martina Poršová², MUDr.Richard Pabišta², MUDr.Jaroslav Porš³, MUDr.Jiří Poněšický¹, MUDr.Přemysl Grubský², MUDr.Jan Zaplatílek², MUDr.Robert Šverma², MUDr.Leoš Gronka³, MUDr.Milan Bartůněk¹

¹ Centrum robotické chirurgie a urologie, Nemocnice Na Homolce Praha

² Urologické oddělení, Nemocnice Mladá Boleslav

³ Urologická poradna, Městská nemocnice Turnov

Fournier gangrene, is defined as a polymicrobial soft-tissue necrotizing infections of the perineal, perianal, or genital areas. It is rare

infection of the genitalia that is associated with high morbidity and mortality. Fournier gangrene nowadays has an identifiable cause

in approximately 95 % of cases. The necrotizing process commonly originates from an infection in the anorectum, the urogenital tract,

or the skin of the genitalia. Treatment of Fournier gangrene involves several modalities. Initiate early broad-spectrum antibiotics as soon

as possible. Providing coverage for gram-positive, gram-negative, aerobic, and anaerobic bacteria is essential. Early surgical therapy is

also essetial and all necrotic tissue must be excised. The use of vacuum dressing technologies – VAC (Vacuum-assisted closure) holds the

potential to promote faster wound healing after debridement procedure. Interdisciplinary approach is a necessary and important for

patients with Fournier´s gangrene.

antibiotics, surgical therapy, wound healing – Vacuum-assisted closure (VAC) therapy, interdisciplinary approach.

Keywords: Fournier gangrene, Fournier’s disease, genital infections, necrotizing fasciitis, aerobic and anaerobic bacteria, intensive care,

Published: August 10, 2011  Show citation