CURRENT THERAPY OF FOURNIERS GANGRENE

The histologic findings of Fournier's gangrene correspond to those fou nd in cases of necrotizing fasciitis. The anatomic association between the fascies of penis, scrotum, perineum, groin and gluteal regions fa vours the rapid spreading of tissue necrosis. We report two cases in w hich penis, scrotum and a great part of the trunk and extremities were affected. By extensive, large debridement, including removal of the c omplete scrotum, and antibiotic treatment on a critical care unit, the disease could be controlled. Reconstruction of the skin defects was d one afterwards in multiple operations by applying meshgrafts. The cosm etic results were acceptable. A review of the literatur shows the curr ent therapy of Fournier's gangrene.