Fournier's gangrene and the use of preputial rotation graft.

A fifty-nine year old Indian male was admitted with pain and swelling of 5 days in the scrotum. He had a swollen scrotum of 14 x 10 ems. with gangrene over its anterior, lateral and posterior surfaces, and discharging serosanguineous foul smelling fluid from its cracked surfaces. The penis was oedematous without evidence of gangrene (Fig. 1). The groins had fungal infection. Two days after admission, the gangrenous areas were excised. The testes were free from gangrene. The scrotal pus grew bacteroides and non-haemolytic streptococci.