Review Article

Fournier’s Gangrene: Current Practices

Table 1

Etiology of Fournier’s gangrene.

Anorectal
Trauma
Ischiorectal, perirectal, or perianal abscesses, appendicitis,
diverticulitis, colonic perforations
Perianal fistulotomy, perianal biopsy, rectal biopsy,
hemorrhoidectomy, anal fissures excision
Steroid enemas for radiation proctitis
Rectal cancer
Genitourinary
Trauma
Urethral strictures with urinary extravasation
Urethral catheterization or instrumentation,
penile implantsinsertion, prostatic biopsy, vasectomy,
hydrocele aspiration,genital piercing, intracavernosal cocaine
injection Periurethral infection; chronic urinary tract infections
Epididymitis or orchitis
Penile artificial implant, foreign body
Hemipelvectomy
Cancer invasion to external genitalia
Septic abortion
Bartholin’s duct abscess
Episiotomy
Dermatologic sources
Scrotal furuncle
Genital toilet (scrotum)
Blunt perineal trauma; intramuscular injections, genital piercings
Perineal or pelvic surgery/inguinal herniography.
Idiopathic