Fournier’s Gangrene
At Montefiore Einstein Urology, you can access exceptional care for Fournier’s gangrene. As a global leader in urology, we are an academic-based, national and international referral site for the most complex and high-risk cases. For more than a century, we have been at the forefront of innovation, research and clinical care for genitourinary (GU) conditions.
Ranked in the top 1% of all hospitals in the nation for urology according to U.S. News & World Report, Montefiore Einstein continues to make advances in the diagnosis and treatment of GU conditions. Our multidisciplinary team of world-renowned specialists is passionate about uncovering the latest diagnostic approaches and treatments that can improve outcomes.
At Montefiore Einstein Urology, you can expect compassionate, personalized, research-driven treatment plans that meet the highest standards for quality and safety. In addition, we offer patients a full range of support services, from nutritional guidance to rehabilitative therapies.
When you need care for Fournier’s gangrene, turn to our dedicated multidisciplinary team for a personalized treatment plan.
Montefiore Einstein offers the following content from Healthwise’s health information library.
What Is Fournier’s Gangrene?
Fournier’s gangrene is a rapidly progressing bacterial infection that affects the soft tissues of the scrotum, penis, or perineum. The condition typically arises from bacteria entering through urogenital, colorectal, or cutaneous regions. This infection can lead to tissue necrosis, sepsis, and life-threatening complications if left untreated. Prompt medical intervention is essential to prevent severe outcomes.
Causes of Fournier’s Gangrene
Fournier’s gangrene is caused by multiple types of bacteria, including group A streptococcus (GAS). The infection leads to the death of tissues (gangrene) due to bacterial invasion or compromised blood flow. It can destroy soft tissues, including arteries, muscles, and nerves, and is often linked to underlying conditions such as diabetes, immunosuppression, or recent trauma or surgery in the affected area.
Signs & Symptoms of Fournier’s Gangrene
Early symptoms of Fournier’s gangrene include redness, warmth, and swelling of the affected area, accompanied by severe pain that often extends beyond the visibly inflamed region. Additional signs may include fever, chills, low energy, nausea, vomiting, and a putrid odor. As the infection progresses, other areas of the body, including the blood, heart, and urinary tract, may become involved, leading to life-threatening sepsis.
Diagnosing Fournier’s Gangrene
Diagnosis of Fournier’s gangrene involves a thorough physical and dermatological examination to assess the affected tissues. Imaging tests such as CT scans, ultrasounds, or X-rays are often used to confirm the diagnosis and determine the extent of the infection. Bloodwork may also be performed to detect elevated white blood cell counts, electrolyte imbalances, or signs of septic shock.
Treating Fournier’s Gangrene
Treatment for Fournier’s gangrene typically includes the following approaches:
- Surgical debridement: immediate removal of necrotic tissues to prevent the spread of infection
- Broad-spectrum antibiotics: administered intravenously to combat the underlying bacterial infection
- Sepsis management: additional medications to reduce the risk of blood clots and address complications such as septic shock
- Reconstructive surgery: In severe cases, reconstructive procedures may be necessary to restore function and appearance.