Treatment of Isolated Penile Fournier’s Gangrene: A Case Report and Current Literature Review

Abstract

Fournier’s gangrene (FG) is rapidly progressive necrotizing fasciitis of genital, perineal and perianal regions. Usually seen in patients with accompanying predisposing factors. Here, we report a case of FG with isolated penile necrosis in a 70-year-old diabetic male patient with a permanent foley catheter who presented to the emergency department with the complaint of blackish discoloration and purulent discharge in the penis for 4 days. Examination of external genital area showed ulcerated and necrotic lesions on the glans and shaft of the penis and scrotum and testes were normal. Broad spectrum intravenous antibiotics were given and surgical debridement was performed. A penectomy was performed and a neo-mea was created. In the presence of FG of the penis, early diagnosis and aggressive surgical treatment increases the chance of survival.