Genital reconstruction and urethral plasty after Fournier?s gangrene and urethral fistula

Fournier’s syndrome is necrotizing fasciitis of the soft tissues of the perineum. Diagnosis is clinical, and treatment involves stabilization, antibiotics, and debridement of necrotic tissue, which can lead to esthetic and functional sequelae that may be corrected later. A 62-year-old male presents...

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Main Authors: Hugo Rivera-Astorga, María P. Vázquez-Tabares, Paulina L. León-López, Francisco J. Hernández-Calderón, Jorge A. Jaspersen-Gastelum, Ángel Gurrola-Ortega, José F. Virgen-Gutiérrez, Eloy Rico-Frontana, César A. Rivera-Colín
Format: Article
Language:English
Published: Permanyer 2025-07-01
Series:Revista Médica del Hospital General de México
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Online Access:https://www.hospitalgeneral.mx/frame_eng.php?id=264
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author Hugo Rivera-Astorga
María P. Vázquez-Tabares
Paulina L. León-López
Francisco J. Hernández-Calderón
Jorge A. Jaspersen-Gastelum
Ángel Gurrola-Ortega
José F. Virgen-Gutiérrez
Eloy Rico-Frontana
César A. Rivera-Colín
author_facet Hugo Rivera-Astorga
María P. Vázquez-Tabares
Paulina L. León-López
Francisco J. Hernández-Calderón
Jorge A. Jaspersen-Gastelum
Ángel Gurrola-Ortega
José F. Virgen-Gutiérrez
Eloy Rico-Frontana
César A. Rivera-Colín
author_sort Hugo Rivera-Astorga
collection DOAJ
description Fournier’s syndrome is necrotizing fasciitis of the soft tissues of the perineum. Diagnosis is clinical, and treatment involves stabilization, antibiotics, and debridement of necrotic tissue, which can lead to esthetic and functional sequelae that may be corrected later. A 62-year-old male presents for genital reconstruction due to post-Fournier gangrene penile scarring with an inter-scrotal urethrocutaneous fistula. A term-to-term urethral plasty, bilateral testicular descent, and penile ascent are performed. The available information on reconstructive surgery for external genitalia following Fournier’s gangrene is insufficient to establish a standard approach.
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institution Kabale University
issn 0185-1063
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publisher Permanyer
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series Revista Médica del Hospital General de México
spelling doaj-art-470d99112433406fba6decffa13dcd6c2025-08-20T03:56:08ZengPermanyerRevista Médica del Hospital General de México0185-10632025-07-01883Genital reconstruction and urethral plasty after Fournier?s gangrene and urethral fistulaHugo Rivera-Astorga0María P. Vázquez-Tabares1Paulina L. León-López2Francisco J. Hernández-Calderón3Jorge A. Jaspersen-Gastelum4Ángel Gurrola-Ortega5José F. Virgen-Gutiérrez6Eloy Rico-Frontana7César A. Rivera-Colín8Department of Urology, Hospital General de México, Dr Eduardo Liceaga, Secretary of Health, Mexico City, MexicoUrology Service, Hospital General de México Dr. Eduardo Liceaga, Secretaría de Salud. Mexico City, MexicoUrology Service, Hospital General de México Dr. Eduardo Liceaga, Secretaría de Salud. Mexico City, MexicoDepartment of Urology, Hospital General de México, Secretaría de Salud. Mexico City, MexicoDepartment of Urology, Hospital General de México, Dr Eduardo Liceaga, Secretary of Health, Mexico City, MexicoUrology Service, Hospital General de México Dr. Eduardo Liceaga, Secretaría de Salud. Mexico City, MexicoDepartment of Urology, Hospital General de México, Dr Eduardo Liceaga, Secretary of Health, Mexico City, MexicoUrology Service, Hospital General de México Dr. Eduardo Liceaga, Secretaría de Salud. Mexico City, MexicoDepartment of Reconstructive Urology, Faculty of Medicine, Universidad Nacional Autónoma de México. Mexico City, MexicoFournier’s syndrome is necrotizing fasciitis of the soft tissues of the perineum. Diagnosis is clinical, and treatment involves stabilization, antibiotics, and debridement of necrotic tissue, which can lead to esthetic and functional sequelae that may be corrected later. A 62-year-old male presents for genital reconstruction due to post-Fournier gangrene penile scarring with an inter-scrotal urethrocutaneous fistula. A term-to-term urethral plasty, bilateral testicular descent, and penile ascent are performed. The available information on reconstructive surgery for external genitalia following Fournier’s gangrene is insufficient to establish a standard approach. https://www.hospitalgeneral.mx/frame_eng.php?id=264Fournier?s gangrene. Urethral fistula. Genital reconstruction. Urethral plasty.
spellingShingle Hugo Rivera-Astorga
María P. Vázquez-Tabares
Paulina L. León-López
Francisco J. Hernández-Calderón
Jorge A. Jaspersen-Gastelum
Ángel Gurrola-Ortega
José F. Virgen-Gutiérrez
Eloy Rico-Frontana
César A. Rivera-Colín
Genital reconstruction and urethral plasty after Fournier?s gangrene and urethral fistula
Revista Médica del Hospital General de México
Fournier?s gangrene. Urethral fistula. Genital reconstruction. Urethral plasty.
title Genital reconstruction and urethral plasty after Fournier?s gangrene and urethral fistula
title_full Genital reconstruction and urethral plasty after Fournier?s gangrene and urethral fistula
title_fullStr Genital reconstruction and urethral plasty after Fournier?s gangrene and urethral fistula
title_full_unstemmed Genital reconstruction and urethral plasty after Fournier?s gangrene and urethral fistula
title_short Genital reconstruction and urethral plasty after Fournier?s gangrene and urethral fistula
title_sort genital reconstruction and urethral plasty after fournier s gangrene and urethral fistula
topic Fournier?s gangrene. Urethral fistula. Genital reconstruction. Urethral plasty.
url https://www.hospitalgeneral.mx/frame_eng.php?id=264
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