Managemnet of Fournier’s Gangrene at Department of Urology Chandka Medical College Hospital

Aims and object: To assess the aetiology management of Fournier’s gangrene. Methodology: We examined 30 paients retrospectivdely, during period from 2015 to 2020, patients Urology department CMC Hospital at SMBB Medical University Larkana. All related data were taken as well demographic details, history risk factor regarding illness. Routine investigation carried out including Blood CP ESR, Urine Dr, sugar, Renal profile pus culture sensitivity. 20 under gone for surgical debridement, 5 require skin grafting 4 requires testes burrial after recovery aseptic measures. Result: male with mean age 20±10.5 year. Majority (80%) patient presenting necrotising infection on scrotum,perineum hypogatric area. Basic laboratory investigations CBC showed WBC 15000/cmm3, Hb was 8.5 gms, analysis pyuria haematuria, sensitivity positive in 90% cases most prevalent organism E.Coli, Mean urea 35mg serum creatinine 1.9mg. Commonest causes fourneir gangreen trauma, UTI, urethral stricture, indewelling catheter perianal abcess D.M commonest comorbidity). treated by debridement while measures triple regimen antibiotics. Conclusion: Surgical debridment necrotic tissues antibiotic are main stay primary gangrene (FG) decrease morbidity mortality keywords: Gangrene, debriment,