ePlasty: Vol. 16
Fournier's Gangrene and the Reconstructive Challenges for the Plastic Surgeon
David Izadi, MB, BChir, MA(Oxon), MA(Cantab), MRCS, James Coelho, BMBS, MSc, MRCS, Sameer Gurjal, MBBCh, BSc, MRCS, and Faisal Salim, MBBS, MRCS

Royal Devon and Exeter Hospital NHS Foundation Trust, Exeter, United Kingdom

Correspondence: izadi@hotmail.co.uk
Keywords: Fournier's, gangrene, scrotum, perineum, reconstruction


A 37-year-old male patient presented with a painful swelling of his scrotum for 2 days, temperature of 38.5°C, with scrotal discharge for 36 hours. He was an active intravenous drug user, injecting his groin 3 days earlier. He underwent emergency surgical debridement (Figure 1), followed by reconstruction with split-thickness skin grafts (Figure 2).


1. What is Fournier's gangrene?

2. What is the emergency management of Fournier's gangrene?

3. What are the reconstructive options for perineal and scrotal defects?

4. Describe how to use a split-thickness skin graft for a 1-stage reconstruction of a scrotal defect?