Isolated Penile Fournier's gangrene: A very rare entity

Lahouar, Rayen; Naouar, Sahbi; Khalifa, Badreddine Ben; Gazzah, Wael; Braiek, Salem; Kamel, Rafik El

doi:10.1016/j.eucr.2021.101608

Cited by 8 publications

(6 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Objects that cause penile constriction can be classified into hard materials, such as metal rings and plastic bottles, and soft materials such as rubber bands, threads, and strings 1 , 3 , 4 . The removal of soft constraining objects often requires more time, and a higher incidence of serious complications is observed, including necrosis 5 , 6 . This is attributed to their smaller surface area of constriction, intense pressure due to contraction, and often delayed identification and extended duration of constriction, as they can become embedded in the tissue.…”

Section: Discussionmentioning

confidence: 99%

Innovative techniques in the treatment of penile strangulation: a case report

Gazzah,

Mzoughi,

Lahouar

et al. 2024

Annals of Medicine &Amp; Surgery

Self Cite

View full text Add to dashboard Cite

Introduction and importance: Penile strangulation is a medical emergency characterized by the encirclement of the penis by an external object, resulting in circulatory compromise. Case presentation: A 35-year-old male presented with penile pain and urinary obstruction due to the inability to remove the ring. Upon examination, the ring was firmly lodged at the base of the penis, causing significant swelling and discoloration in the distal region. Interventions and outcomes: Initial attempts to cut the ring using standard tools were unsuccessful, leading to the engagement of a rescue team equipped with an air cutter. The cutting procedure, complicated by the ring’s thickness and hardness and the significant edema, took ~90 min. Safety measures, including the use of a surgical brain spatula and forceps, were employed to protect the penile skin from damage during the operation. Relevance and impact: This case underscores the necessity for timely intervention in penile strangulation cases and highlights the effectiveness of collaboration with specialized rescue teams equipped with appropriate cutting tools. It also emphasizes the importance of safety considerations when employing nonmedical devices in medical emergencies. The patient experienced a favorable outcome, with significant improvement in swelling and discoloration postprocedure, and no complications during follow-up. This report contributes to the limited but crucial literature on managing penile strangulation, particularly regarding the methods and timeframes for safely removing constricting objects.

show abstract

Section: Discussionmentioning

confidence: 99%

Innovative techniques in the treatment of penile strangulation: a case report

Gazzah,

Mzoughi,

Lahouar

et al. 2024

Annals of Medicine &Amp; Surgery

Self Cite

View full text Add to dashboard Cite

show abstract

“…It has also been reported to follow calciphylaxis of the penis. This is a rare condition in which there is calcium deposition in small and medium sized vessels of the skin causing ischemic necrosis associated with focal thrombosis, and intimal fibroblastic proliferation with luminal narrowing and occurs mainly in patients with end-stage renal disease and diabetes [2,4].…”

Section: Discussionmentioning

confidence: 99%

“…The most commonly isolated microorganisms are E. coli, Bacteroides and Streptococcus [1,2,3]. The mortality rate remains high and can reach up to 50% of the cases.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Penis Necrosis, a Rare Complication of Fournier's Gangrene: Cause and Management

Chadli¹,

Badr²,

Alafifi³

et al. 2023

SAR J Med Case Rep

View full text Add to dashboard Cite

Penile Fournier's gangrene is extremely rare due to the rich blood supply of the penis. It has only been reported in a few cases in the literature. Prompt surgical exploration, antibiotic therapy, and meticulous postoperative care are the cornerstone in the successful mangement of this high-mortality emergency. We present a rare case of penile Fournier's gangrene with total necrosis of the penis necessitating penectomy in a 70-year-old patient who is well advanced, with complete perineum healing. The goal of this article is to illustrate this rare case, as well as to explain what causes it and how to manage it.

show abstract

“…67 Early diagnosis of FG patients without risk factors and inducing conditions is very difficult, which require clinician to sufficiently understand the early manifestations. 37,68 The earliest clinical manifestation of skin in FG patients includes perineum and perianal pain, pruritus, edema and unclear boundary patchy erythema. As the infection continues to spread along the fascia plane at the speed of 1 inch/h, • Alcohol abuse 42 • HIV 43 • Leukemia 44 • Chemotherapy 45,46 • Liver disease 16 • Atherosclerosis 38…”

Section: Clinical Manifestationmentioning

confidence: 99%

Progress in Multidisciplinary Treatment of Fournier’s Gangrene

Zhang¹,

Shi²,

Chen³

et al. 2022

IDR

View full text Add to dashboard Cite

Fournier's gangrene (FG) is a life-threatening and special form of necrotizing fasciitis, characterized by occult onset, rapid progress and high mortality, occurring mainly in men over 50 years of age. Risk factors of FG include diabetes, HIV infection, chronic alcoholism and other immunosuppressive state. FG was previously considered as an idiopathic disease, but in fact, three quarters of the infections originated from the skin, urethra and gastrointestinal tract. Initial symptoms of FG are often inconsistent with severity and can progress promptly to fatal infection. Although the treatment measures of FG have been improved in recent years, the mortality does not seem to have decreased significantly and remains at 20% -30%. The time to identify FG and the waiting period before surgical debridement are directly related to the prognosis. Therefore, in addition to the combination of intensive fluid resuscitation and broad-spectrum antibiotics, treatment of FG should particularly emphasize the importance of early surgical debridement assisted with fecal diversion and skin reconstruction when necessary. This paper is to briefly summarize the progress in the definition, epidemiology, clinical manifestations, diagnosis, treatment and prognosis of Fournier's gangrene in recent years, more importantly, illustrates the importance of multidisciplinary cooperation in the management of FG.

show abstract

Isolated Penile Fournier's gangrene: A very rare entity

Cited by 8 publications

References 5 publications

Innovative techniques in the treatment of penile strangulation: a case report

Innovative techniques in the treatment of penile strangulation: a case report

Penis Necrosis, a Rare Complication of Fournier's Gangrene: Cause and Management

Progress in Multidisciplinary Treatment of Fournier’s Gangrene

Contact Info

Product

Resources

About