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[Fournier's gangrene after vasectomy]
E de Diego Rodríguez1, M A Correas Gómez, B Martín García
1Servicio de Urología, Hospital Universitario Marqués de Valdecilla, Santander, España.
Objective:
An uncommon case of Fournier's gangrene following vasectomy is described.
Methods/Results:
A 35-year-old male with no remarkable previous history, who underwent vasectomy in another hospital, developed a clinical picture compatible with Fournier's gangrene 7-8 days later. The patient required wide, aggressive surgical debridement on several occasions with broad spectrum antibiotic coverage. After a long stay at the hospital, the patient was finally discharged and referred to another hospital for plastic surgery.
Conclusions:
Fournier's gangrene is a polymicrobial infection of the perineoscrotal region that manifests as a rapidly progressive necrotizing fasciitis. Most of the cases have a predisposing and/or triggering factor. Fournier's gangrene following vasectomy is uncommon. The morbidity and mortality in this severe complication depend on early diagnosis and aggressive surgical management.