SURGICAL-TREATMENT OF GRANULOMA INGUINALE

Granuloma inguinale is an indolent, progressive, ulcerative and granul omatous skin disease caused by Calymmatobacterium granulomatosis. It i s generally treated with antibiotics. However, long-standing and compl icated disease requires surgical treatment. Two patients with extensiv e and multiple perianal fistulas and abscesses unresponsive to medical treatment were managed with radical surgical resection, The first pat ient healed by primary intention, but a diverting colostomy was made f or the second patient and the tissue defect was closed with a rotation flap, Follow-up at 4 years revealed the disappearance of the symptoms and the absence of recurrence in both patients.