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Fournier Gangrene - Best Hospitals, Doctors, Prices - Booking Health

Treatment of Fournier Gangrene

Fournier gangrene | Information about hospitals and doctors | Rankings | Clinics | Prices | Send request to the hospital

Best hospitals and doctors for fournier gangrene treatment abroad

Leading hospitals

Cost for treatment

Surgical treatment of fournier gangrene
11085.19
Surgical treatment of fournier gangrene with skin transplantation
23963.98
General therapeutic rehabilitation
0.00
According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
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University Hospital Ulm

University Hospital Ulm

Overall rating8.7 / 10
The University Hospital Ulm is an advanced medical complex that provides patients with high-class medical care using the very latest scientific achievements. The medical facility has been performing successful clinical activities for more than 40 years and has long earned an excellent reputation throughout Europe. The hospital r
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According to the Focus magazine, the Urology Clinic Munich-Planegg Munich ranks among the best specialized hospitals in Germany! The hospital was founded in 1970 by Dr. med. Rudolf Castringius. During that time, it became a leader in men's healthcare in Germany. In addition, the hospital has the status of one of the best med
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According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
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According to Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all fields of
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According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
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University Hospital Jena

University Hospital Jena

Overall rating8.9 / 10
According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
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According to the Focus magazine, University Hospital Erlangen ranks among the best medical facilities in Germany! The hospital is one of the leading healthcare facilities in Bavaria and offers top-class medical care distinguished by the close intertwining of clinical activities with research and training of medical students. The
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According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
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According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
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According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
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The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields. The hospital annuall
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According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
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According to the authoritative Focus magazine, the University Hospital Duesseldorf ranks among the top Germany hospitals! The hospital is an excellent example of a combination of high-quality health care, research and teaching activities. With more than 50,000 inpatients and about 300,000 outpatients every year, the hospital is
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According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
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University Hospital Bonn

University Hospital Bonn

Overall rating9.2 / 10
According to the authoritative Focus magazine, the University Hospital Bonn ranks among the top ten medical facilities in Germany! The hospital was opened on January 1, 2001, although in fact it inherits the medical facility, which operated at the Faculty of Medicine of the University of Bonn. The hospital in Germany combin
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About the disease

Fournier gangrene is an infection, which can originate either in the scrotum, penis or in perineum, which is an area below the pelvic diaphragm. Perineum is also known as an erogenous zone for both males and females. Fournier gangrene can develop as a result of perirectal infection or diseases of urinary tract. Pancreatitis can also be a contributing factor. 20% of patients with fournier gangrene had previous history of pancreatitis. It begins with spreading redness in the scrotum area and then the swelling and pain behind the gangrene process, which leads to sloughing of the perineum tissues.  The necrotizing process spreads quite quickly because of the high concentration of the damaged pancreatic enzymes. 

This type of gangrene is more common in males. 70% of all cases are predominant in men. It is a relatively rare condition with 1, 800 cases have been recorded in England since1950.

People can develop gangrene in the perineum because of such precipitating factors:

  • Thoracic or pelvic trauma
  • Previous surgery in the scrotum or perineum
  • Prosthetic implants in the penile area
  • Genital piercings

Very rarely, children can develop fournier gangrene as a result of circumcision or untreated timely hernia. People who live in tropical regions can develop fournier gangrene as a result of venomous insect bites.

Symptoms

  • Pain in the scrotum
  • Redness in the genital area
  • Severe pain in the perineum
  • Fever
  • Damaged urinary function
  • Itching

Diagnosis

  • Ultrasound of the perineum can show if this area is damaged. It can also show if scrotal walls are thickened which is another indicator of the disease.
  • Blood and urine test determines if the urinary tract system was affected by the infection
  • Histological test can determine if the necrosis of the tissues have began.
  • CT scan produces the image of the soft tissue, which allows doctors understand if gangrene spread there.

Treatment

  • Surgical treatment is needed once the person was diagnosed with fournier gangrene. A person usually needs to undergo debridement, which is removal of the dead tissues to prevent gangrene from spreading further and affecting with infection the whole body. Most often chemical enzymes, which were affected by the gangrene, must also be eliminated. Fournier Gangrene is a medical emergency, that`s why surgery needs to carried out in the matter of hours after the diagnosis was done. 
  • Surgical treatment with skin transplantation also aims to remove the necrotic tissue, but it is combined with reconstructive surgery, during which a skin graft if used to cover the perineum area after the resection. Skin graft is usually used from another part of the body.

After the resection surgeon can also create the bypass in perineum area to create the new blood flow, which will normalize whole blood circulation of the body. 

Authors: Dr. Nadezhda Ivanisova, Dr. Sergey Pashchenko