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(Fournier gangrene Fournier disease)
989 results
  • A curious case of Fournier's gangrene. [Case Reports]
    Urol Case Rep 2019; 27:101001Amin A, Blazevski A
  • A case of Fournier's gangrene secondary to a self-administered penile augmentation is reported. A 45 year old man from the South pacific islands was successfully treated with surgical debridement, intensive care unit admission and antibiotics after presenting to hospital with Fournier's gangrene. Two years prior, he had self-administered Vaseline to the shaft of the penis in order to augment peni…
  • Fournier Gangrene: A Review for Emergency Clinicians. [Journal Article]
    J Emerg Med 2019Montrief T, Long B, … Auerbach J
  • CONCLUSIONS: Although originally thought to be an idiopathic process, FG has been shown to have a strong association for male patients with advanced age and comorbidities affecting microvascular circulation and immune system function, most commonly those with diabetes or alcohol use disorder. However, it can also affect patients without risk factors. The initial infectious nidus is usually located in the genitourinary tract, gastrointestinal tract, or perineum. FG is a mixed infection of aerobic and anaerobic bacterial flora. The development and progression of gangrene is often fulminant and can rapidly cause multiple organ failure and death, although patients may present subacutely with findings similar to cellulitis. Laboratory studies, as well as imaging including point-of-care ultrasound, conventional radiography, and computed tomography are important diagnostic adjuncts, though negative results cannot exclude diagnosis. Treatment includes emergent surgical debridement of all necrotic tissue, broad-spectrum antibiotics, and resuscitation with intravenous fluids and vasoactive medications.FG requires a high clinical level of suspicion, combined with knowledge of anatomy, risk factors, and etiology for an accurate diagnosis. Although FG remains a clinical diagnosis, relevant laboratory and radiography investigations can serve as useful adjuncts to expedite surgical management, hemodynamic resuscitation, and antibiotic administration.
  • Keystone Flaps in Urethroplasty: Reconstruction in a Complex Case of Panurethral Stricture Disease. [Case Reports]
    Niger Med J 2019 Mar-Apr; 60(2):95-97Kalra S, Dorairajan LN, … Manikandan R
  • Panurethral strictures are a surgical challenge for a reconstructive urologist more so in situations where local tissue for reconstruction is deficient. Two-stage urethroplasty is the preferred option in such cases. In some complex stricture diseases where patients are not willing for multiple procedures, permanent perineal urethrostomy can give a good functional outcome. Keystone flaps have been…
  • SGLT2 Inhibitors: A Review of Their Antidiabetic and Cardioprotective Effects. [Review]
    Int J Environ Res Public Health 2019; 16(16)Tentolouris A, Vlachakis P, … Tentolouris N
  • Type 2 diabetes mellitus is a chronic metabolic disease associated with high cardiovascular (CV) risk. Sodium-glucose co-transporter 2 inhibitors (SGLT2i) are the latest class of antidiabetic medication that inhibit the absorption of glucose from the proximal tubule of the kidney and hence cause glycosuria. Four SGLT2i are currently commercially available in many countries: canagliflozin, dapagli…
  • Self-insertion of an odd urethral foreign body that led to Fournier's gangrene. [Case Reports]
    Urol Ann 2019 Jul-Sep; 11(3):320-323Elawdy MM, El-Halwagy S, … Maliakal J
  • Self-inserted urethral foreign bodies (FBs) are rare. Neither reported case was the self-inflicted FB due to a lack of financial resources nor was either case complicated by Fournier's gangrene. We present a 54-year-old male who inserted a household pipe to relieve his urine retention. Unfortunately, the FB became stuck inside, perforated the urethra, and required perineal exploration. After it w…
  • Skin Grafting Applications in Urology. [Review]
    Rev Urol 2019; 21(1):8-14Patino G, Zheng MY, … Cohen AJ
  • Skin grafting is a closure technique widely used in plastic surgery. Urologists may encounter patients with diseases that lead to severe tissue loss due to infection, trauma, burns, malignancy, skin maladies, or primary lymphedema. The development and study of skin harvesting techniques to manage tissue coverage of burns has allowed for great advances and the widening application of skin grafting…
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