Fournier gangrene is a necrotizing infection that affects the penis and surrounding areas, caused by an underlying infection. Early symptoms include redness, pain, and swelling, and if left untreated, the infection can spread and become fatal. Treatment involves antibiotics and surgery to remove infected tissue. Seeking medical attention early is crucial for a better outcome.
Fournier gangrene is a serious infection of the penis and surrounding areas. It is an example of a necrotizing infection, in which the skin and underlying tissue begin to die, and is considered a medical emergency. Within 72 hours of developing the initial symptoms of redness and pain, the patient may die if treatment is not provided. Treatments include medications to address the infection, along with surgery to remove dead tissue.
The cause of Fournier gangrene is usually an underlying infection, such as a urinary tract infection. People with compromised immune systems and existing chronic diseases such as diabetes are more likely to develop Fournier gangrene. Early warning signs include redness and pain in the groin, along with swelling. The patient may also experience a feeling of tightness, caused by stretching of the skin when the tissues of the genitals begin to swell.
If Fournier’s gangrene is allowed to progress, the infected tissue will begin to die. Weeping, red sores will appear along with areas of darkness and discoloration. The infection can enter the bloodstream, leading to a systemic bacterial infection. This can be fatal if left untreated and the onset of such infections can be extremely rapid. Once the infection enters the bloodstream, it becomes much more difficult to treat.
A urologist is usually responsible for the care of Fournier’s gangrene. Treatment begins with aggressive broad-spectrum antibiotics to nip the infection in the bud, and the patient will need surgery to remove dead and infected tissue. If this tissue is left in place, the infection can continue to rage, damaging the genitals and potentially spreading to other parts of the body. In surgery, your doctor will remove as much unhealthy tissue as possible. This can change the shape and appearance of the genitals, leading to the need for reconstructive surgery after the patient has recovered.
Patients may initially be shy about seeking treatment for conditions involving the genitals out of shame or fear of being admonished. With Fournier gangrene, it is urgent for a doctor to see the patient as soon as symptoms begin to appear. The sooner a doctor can diagnose the condition and begin treatment, the better the outcome for the patient. Early intervention can preserve more genitals, as well as reduce the risk of developing serious complications. Urologists have seen it all and are more focused on providing immediate care to patients than scolding patients.
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