Source
General Surgery Clinic, Ataturk Training and Research Hospital, Izmir, Turkey. drhru@mynet.com
Abstract
CONTEXT:
Fournier's gangrene (FG) is a rapidly progressing acute gangrenous infection of the anorectal and urogenital area.
AIMS:
The objectives of this study were to investigate patients with FG and to determine risk factors that affect mortality.
SETTINGS AND DESIGN:
Retrospective clinical study.
MATERIALS AND METHODS:
Clinical presentations and outcomes of surgical treatments were evaluated in 68 patients with FG. Statistical Analysis Used: Chi-square, Student's t -test, and logistic regression test.
RESULTS:
Mean age of patients was 54 and female-to-male ratio was 9:59. Among the predisposing factors, diabetes mellitus (DM) was the most common ( n =24, 35.3%), and sepsis on admission was detected in 31 (45.6%) and 15 (22.1%) patients, respectively. Seven (10.3%) patients died. Using logistic regression test, Fournier's Gangrene Severity Index (FGSI)> 9, DM and sepsis on admission were found as prognostic factors.
CONCLUSIONS:
FG has a high mortality rate, especially in patients with DM and sepsis. An FGSI value> 9 indicates high mortality rate.