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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 reputable Focus magazine, the University Hospital Greifswald is included in the ranking of the best medical complexes throughout Germany! The hospital is one of the oldest healthcare facilities in Germany, with long traditions and an excellent reputation. The history of the hospital begins in 1456, when the Facu
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According to the prestigious Focus magazine, the St. Antonius Hospital Eschweiler ranks among the top medical facilities in North Rhine-Westphalia! The hospital is a modern medical complex with 13 specialized departments. The hospital has more than 165 years of history, so it has long won an excellent reputation not only in Germ
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The Hospital Friedrichshafen is a progressive medical complex providing top-class treatment in various fields of modern medicine. The medical center is part of the Medicine Campus Lake Constance. It is also the Academic Hospital of the University of Tuebingen. The hospital admits not only German citizens, but also patients from
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The Rambam Health Care Campus Haifa is the largest and the most progressive hospital in Northern Israel. The medical center was founded in 1938 and nowadays is proud of its long history, rich and successful experience in providing comprehensive medical services in all medical fields. The hospital serves more than 2 million local
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The Acibadem Healthcare Group Istanbul was founded in 1991 and in a short time has become one of the leading medical facilities not only in Turkey, but throughout the world. The medical group has developed rapidly for many year. Today, it consists of 22 hospitals and 19 outpatient clinics in 5 countries (in Turkey, Bulgaria, Hol
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The Paracelsus Clinic Golzheim Duesseldorf is an advanced medical facility, whose scope of tasks includes the diagnostics and treatment of all urologic diseases. The clinic has exceptional competence in treating bladder cancer and holds a leading position in this field in the national medical arena. The specialists of the medica
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According to the Focus magazine, the Brothers of Mercy Hospital Munich ranks among the top German hospitals in the Federal State of Bavaria! The hospital is a modern medical facility with the highest level of medical care and long traditions. The hospital operates on the basis of the Technical University of Munich and the German
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The German Centre for Urology and Phalloplasty Surgery Darmstadt is an advanced highly specialized medical facility, which provides patients with highly competent medical care of outstanding quality. The center is part of the International Network for Urogenital Reconstructive Surgery(UGRS) located in Germany and Spain. The surg
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The Marien Hospital Duesseldorf is a modern medical facility in the very center of Duesseldorf and a recognized Research Center. The foundation stone of the hospital was laid back in 1864 with the support of the Catholic Church. The Christian principles of helping and supporting patients have not changed at all over the years, b
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The Medical Park Gebze Hospital is a progressive medical facility, which diagnoses and treats patients in almost all fields of modern medicine. The hospital is part of the prestigious Medical Park Hospitals Group, which unites 28 advanced medical centers in various cities of Turkey and is one of the leading providers of medical
The Gaziosmanpasa Hospital of Yeniyuzyil University is a private maximum care medical facility with the high standards of patient care. The hospital began its activities in 1992 and during this time has gained an excellent reputation in Turkey and in many other countries of the world.
The University Hospital Freiburg is famous for its rich history and is one of the oldest and most prestigious medical facilities in Germany (one of the three best medical institutions in the country). The hospital was based on the Faculty of Medicine of the Albert Ludwig University of Freiburg, which celebrated its 550th anniver
Asan Medical Center is Korea’s largest medical institution, with 1,600 physicians and surgeons, 3,100 nurses, 2,680 beds, and 67 operating rooms, occupying more than four million square feet (about 371,600 square meters). A typical day at AMC sees 2,500 inpatients and 10,000 outpatients treated. The treatment of heart dise
The Samsung Medical Center was founded in 1994 and soon won the reputation of a medical facility of presidential standards, which it still preserves today. The hospital has 40 departments, 10 specialized centers and a huge Cancer Center with 655 beds. The medical facility is equipped with advanced equipment (for example, a 32-ch
The Hanyang University Medical Center was founded in 1972 and today is one of the largest and most advanced providers of medical services in Korea and around the world. The medical institution runs 9 specialized centers and 26 departments fitted out with state-of-the-art equipment. The most important component of successful trea
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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