Logo
International Journal of
Surgery and Surgical Research
ARCHIVES
VOL. 7, ISSUE 2 (2025)
A silent menace: Urethral trauma and ravages of Fournier’s gangrene
Authors
Deepthi PN, Dr. Gopinath Pai, Dr. Ranjith KB, Dr. Nikhil NG
Abstract

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. 

Download
Pages:1-3
How to cite this article:
Deepthi PN, Dr. Gopinath Pai, Dr. Ranjith KB, Dr. Nikhil NG "A silent menace: Urethral trauma and ravages of Fournier’s gangrene". International Journal of Surgery and Surgical Research, Vol 7, Issue 2, 2025, Pages 1-3
Download Author Certificate

Please enter the email address corresponding to this article submission to download your certificate.