PERINEOSCROTAL GANGRENE - ANALYSIS OF 49 CASES

Perineo-scrotal gangrene is a necrotizing infection of the tissues of the perineum and scrotum. It accounts for 0.6 % of our hospitalization s. The commonest etiology is urologic (86 % of our cases). A proctolog ic origin was found in 6 %, while the condition appeared to be primary in 8 %. Concomitant diseases were found in 37 % with diabetes the com monest. The diagnosis is clinically evident. The majority of patients are seen late (5 to 10 days) and the necrotizing process spreads rapid ly. This is a multidisciplinary emergency, requiring intensive care, a ntibiotics, surgical excision of all necrotic tissues and possible uri nary and/or fecal diversion. Extensive skin loss requires surgical cut aneous reconstruction procedures. The prognosis is severe, with a 12 % mortality rate in our series.