Gangrena de Fournier secundaria a cateterismo uretral

Pacios, José Carlos López; Merino, José María Sánchez; Fernández, María Cecilia; Montero, M. Bouso; Muntaner, Luis Parra; Alonso, Jesús

doi:10.4321/s0004-06142005000200012

Cited by 8 publications

(3 citation statements)

References 6 publications

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“…[ 2 5 ] Urethral obstruction, instrumentations and urinary extravasation have been associated with the development of FG. [ 1 5 6 ]…”

Section: Discussionmentioning

confidence: 99%

“…Trauma, instrumentation, recent surgery, presence of foreign bodies, inadequate perineal hygiene and long term indwelling catheters may also lead to FG. [ 2 3 4 5 6 ]…”

Section: Introductionmentioning

confidence: 99%

“…[ 5 ] Urethral pathology, although often the inciting factor of FG, its extensive involvement with necrosis is very rare. [ 6 ]…”

Section: Introductionmentioning

confidence: 99%

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Fournier gangrene with extensive necrosis of urethra and bladder mucosa: A rare occurrence in a patient with advanced prostate cancer

Paonam

Bag

2015

Urol Ann

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Fournier gangrene (FG) is polymicrobial necrotizing infection of subcutaneous tissues and deep fascia, commonly involving the perineum, external genitalia, anterior abdominal wall and medial aspect of thighs. Urethral pathology, although often the inciting factor for FG, extensive involvement with urethral necrosis is very rare. This is the first report in English literature, describing complete sloughing of the bulbar urethra with ischemic necrosis of the bladder mucosa from FG. Such extensive disease is associated with high mortality, despite higher antibiotics, through debridement and intensive care. Urethral involvement needs extensive debridement and temporary or permanent urinary diversion.

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“…[ 2 5 ] Urethral obstruction, instrumentations and urinary extravasation have been associated with the development of FG. [ 1 5 6 ]…”

Section: Discussionmentioning

confidence: 99%

“…Trauma, instrumentation, recent surgery, presence of foreign bodies, inadequate perineal hygiene and long term indwelling catheters may also lead to FG. [ 2 3 4 5 6 ]…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Fournier gangrene with extensive necrosis of urethra and bladder mucosa: A rare occurrence in a patient with advanced prostate cancer

Paonam

Bag

2015

Urol Ann

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A Practical Approach to Difficult Urinary Catheterizations

et al. 2013

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Routine placement of transurethral catheters can be challenging in some situations, such as urethral strictures, severe phimosis and false passages. Intravaginal retraction of the urethral meatus can complicate Foley placement in postmenopausal females. In men, blind urethral procedures with mechanical or metal sounds without visual guidance or guidewire assistance are now discouraged due to the increased risk of urethral trauma and false passages. Newer techniques of urethral catheterization including guidewires, directed hydrophilic mechanical dilators, urethral balloon dilation, and direct vision endoscopic catheter systems are discussed, along with the new standardized protocol for difficult transurethral catheter insertions. Suprapubic catheter placement techniques, including percutaneous trocars and the use of the curved Lowsley tractor for initial suprapubic catheter insertion, are reviewed. Prevention and management of common catheter-related problems such as encrustation, leakage, Foley malposition, balloon cuffing and frequent blockages are discussed.

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