Abstract

Genitourinary gangrene is an uncommon, potentially lethal disorder characterized by the abrupt onset of a rapidly progressive necrotizing soft tissue infection caused by the synergistic action of various organism that spread along fascial planes, causing subfascial soft tissue necrosis and destruction. Many factors, debilitating condition such as carcinoma, diabetes, and alcoholism etc, contribute to the development and perpetuate the course of Fournier's gangrene. In this case, predisposing causes were; perianal infection and chronic alcoholism. The cultured organism was Streptococcus pyogenes (group A beta-hemolytic Streptococcus). Massive wound debridement was done three times. Reconstructive surgery of defected penis, scrotum, buttock, thigh and perineum was performed after initial operation.

• Keywords: Fournier';s gangrene