%0 Journal Article
%T External Genitalia Gangrene: Clinical, Therapeutic Aspects and Prognosis at University Hospital Souro Sanou of Bobo Dioulasso (Burkina Faso)
%A Timoth¨¦e Kambou
%A Adama Ouattara
%A Abdoulkarim Par¨¦
%A Brahima Kirakoya
%A Fasn¨¦wind¨¦ Aristide Kabor¨¦
%A Hassan Dogo
%A Hamidou Bako
%J Open Journal of Urology
%P 235-242
%@ 2160-5629
%D 2017
%I Scientific Research Publishing
%R 10.4236/oju.2017.712028
%X <strong>Objective:</strong> To describe the clinical aspects and the management of external genitalia gangrene in the Urology department of the Bobo Dioulasso CHUSS. <strong>Patients and methods:</strong> 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.<strong> Results: </strong>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%.<strong> Conclusion: </strong>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.
%K Gangrene
%K External Genitalia
%K Debridement
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=80870