Year: 2025
Type: article
Study design: Case Report
Abstract: INTRODUCTION: Fournier’s gangrene (FG) is a progressive necrotizing soft tissue infection of the perineum, perianal region, and external genitalia caused by one or more pathogenic microorganisms. CASE PRESENTATION: This article presents a case of an 83-year-old male patient with penile FG caused by a colovesical fistula. The patient was admitted with penile swelling and necrosis and had a prior history of a colovesical fistula that had not been adequately treated. Upon diagnosis, comprehensive treatment was administered, including antimicrobial therapy, and anti-shock therapies. Surgical interventions included debridement, colovesical fistula repair, and partial penectomy. The article provides a detailed account of the treatment process, postoperative management, and follow-up, aiming to serve as a reference for similar clinical cases. CONCLUSION: FG resulting from a colovesical fistula is extremely rare. Effective management of this condition requires prompt and aggressive antimicrobial therapy, early debridement, and timely repair of the colovesical fistula.
Source: BMC Urology
Institution: Fujian Medical University
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,990
OpenAlex ID: W4414595063