Fournier's gangrene is a life-threatening
necrotising fasciitis of the perineum, often resulting from a urogenital or
anorectal infection. Urethral trauma, although less common, can act as a
precipitating factor. This case highlights an unusual presentation of
Fournier’s gangrene secondary to urethral stricture following trauma. A
middle-aged male, with no prior co-morbidities, presented with painful scrotal
swelling six weeks after sustaining trauma to the scrotum. The patient reported
poor urine flow and straining to void. On examination, the scrotal wall was
edematous, and there was urine leakage. Immediate management involved a
suprapubic cystostomy and emergency debridement. Further intervention included
cystoscopy and internal urethrotomy to address the urethral stricture.
Testicular replantation into the scrotum was performed after defect closure,
following daily dressings and debridements. This case exemplifies Fournier’s
gangrene arising from a rare pathological process: post-traumatic urethral
stricture leading to periurethral gland infection. The rupture of an abscess in
this region resulted in urinary extravasation into the scrotum, ultimately
causing gangrene. Timely intervention with a multidisciplinary approach,
including surgical debridement, urinary diversion, and stricture management,
was crucial for a successful outcome. Multidisciplinary management is key to
reducing morbidity and mortality in such complex presentations.
Please enter the email address corresponding to this article submission to download your certificate.

