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Mejean, A., Codet, Y.P., Vogt, B., Cazalaa, J.B., Chrétien, Y. and Dufour, B. (1999) Gangrène de Fournier étendue à la totalité du scrotum: Traitement par excisions chirurgicales itératives multiples, colostomie de dérivation, triple antibiothérapie et réanimation post-opératoire. Progrès en Urologie, 9, 721-726.

has been cited by the following article:

• TITLE: External Genitalia Gangrene: Clinical, Therapeutic Aspects and Prognosis at University Hospital Souro Sanou of Bobo Dioulasso (Burkina Faso)

  AUTHORS: Timothée Kambou, Adama Ouattara, Abdoulkarim Paré, Brahima Kirakoya, Fasnéwindé Aristide Kaboré, Hassan Dogo, Hamidou Bako

  KEYWORDS: Gangrene, External Genitalia, Debridement

  JOURNAL NAME: Open Journal of Urology, Vol.7 No.12, December 5, 2017

  ABSTRACT: Objective: To describe the clinical aspects and the management of external genitalia gangrene in the Urology department of the Bobo Dioulasso CHUSS. Patients and methods: This was a retrospective and descriptive study over a period of 6 years from January 2011 to December 2016, which covered 54 patients hospitalized in the urology department of the University Hospital Souro Sanou for external genitalia gangrene. Results: The mean age of our patients was 53.8 years. The large ulcero-necrosis of scrotum was the main reason for reference. Our patients consulted on average 8.23 days after the onset of symptomatology. A risk factor was found in 44.2% of cases and a cause was identified in 65.3% of patients. A urogenital cause was present in 32.7%. Probabilistic antibiotic therapy and medical reanimation were systematic at admission. Debridement was performed on average 18 hours after admission and 10 patients had more than one debridement. We noted a mortality rate of 5.5%. Conclusion: Fournier’s gangrene is a serious infectious disease whose diagnosis is often delayed in our context. Early surgical debridement remains the essential therapeutic gesture to reduce mortality.