Fournier Gangrene Questions & Answers

Updated: May 07, 2019
  • Author: Vernon M Pais, Jr, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Questions & Answers

Overview

What is Fournier gangrene?

Which factors increase susceptibility to Fournier gangrene?

How is Fournier gangrene treated?

What is the historical importance of Fournier gangrene?

What is the role of anatomy in the progression of Fournier gangrene?

Which anatomic relationships of the skin are relevant in the pathogenesis of Fournier gangrene?

Which anatomic relationships of the vascular system are relevant in the pathogenesis of Fournier gangrene?

What is the anatomic relationship of the penis and scrotum in the pathogenesis of Fournier gangrene?

What is the inciting event in the pathogenesis of Fournier gangrene?

What is the role of superficial perineal fascia (Colles fascia) in the pathogenesis of Fournier gangrene?

What are pathognomonic findings of Fournier gangrene?

What is the infectious process in the pathogenesis of Fournier gangrene?

What causes microorganism virulence in the pathogenesis of Fournier gangrene?

What are common causative microorganisms in Fournier gangrene?

What causes rapid multiplication and spread of Fournier gangrene?

What causes Fournier gangrene?

What are precipitating factors of Fournier gangrene?

How do the etiologic factors of Fournier gangrene differ between men and women?

What are causes of Fournier gangrene in children?

What pathogens cause Fournier gangrene?

What may predispose a patient to the development of Fournier gangrene?

What is the prevalence of Fournier gangrene?

How does the prevalence of Fournier gangrene vary by sex?

How does the prevalence of Fournier gangrene vary by age?

What is the prognosis of Fournier gangrene?

What is the Fournier Gangrene Severity Index (FGSI) and how is it used to predict mortality risk?

What is the efficacy of scoring systems to assess the severity of Fournier gangrene?

What is the Combined Urology and Plastics Index (CUPI) scoring system for Fournier gangrene?

Which factors may reduce the mortality rate for Fournier gangrene?

What are the mortality rates for Fournier gangrene?

What are the mortality risk factors in Fournier gangrene?

Presentation

What are the initial symptoms and progression of Fournier gangrene?

What are the physical findings characteristic of Fournier gangrene?

DDX

What problems should be considered in the differential diagnoses for Fournier gangrene?

What are the differential diagnoses for Fournier Gangrene?

Workup

Which tests are performed in the workup of Fournier gangrene?

What is the role of a chemistry panel and blood gases in the workup of Fournier gangrene?

What is the role of blood tests in the workup of Fournier gangrene?

What is the role of plain radiography in the workup of Fournier gangrene?

What is the role of CT scanning in the workup of Fournier gangrene?

What is the role of ultrasonography in the workup of Fournier gangrene?

What are the limitations of ultrasonography in the workup of Fournier gangrene?

What is the role of MRI in the workup of Fournier gangrene?

What is the role of biopsy in the workup of Fournier gangrene?

Which histologic findings are characteristic of Fournier gangrene?

Treatment

What are the treatment options for Fournier gangrene?

What is the role of antibiotic and antifungal therapy for Fournier gangrene?

What is the role of surgery in the treatment of Fournier gangrene?

How is necrotic tissue excised in the treatment of Fournier gangrene?

What are the options for reconstruction in Fournier gangrene?

What is the role of hyperbaric oxygen therapy in the treatment of Fournier gangrene?

What are investigational treatments for Fournier gangrene?

When is transfer indicated in patients with Fournier gangrene?

Medications

What are the goals of drug treatment for Fournier gangrene?

Which medications in the drug class Immunizations are used in the treatment of Fournier Gangrene?

Which medications in the drug class Antibiotics are used in the treatment of Fournier Gangrene?