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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
HELIOS Clinic Krefeld
HELIOS Clinic Krefeld
Overall rating9.7 / 10
Founded in 2014, the HELIOS Clinic Krefeld is one of the most modern medical facilities in Germany today. A team of highly qualified specialists, innovative medical equipment and comfortable accommodation conditions – the clinic has everything to make the treatment run smoothly and efficiently. Having crossed the threshold
The Vivantes Neukölln Hospital is the maximum care hospital and one of the largest healthcare facilities in Berlin.  There are more than 20 specialized departments and centers, including pediatric departments. In total, the hospital has 1,200 beds. The hospital uses innovative technologies and the latest treatments, as
The Vivantes Auguste-Victoria Hospital, has special expertise and received international recognition in the field of Urology, especially in the treatment of prostate cancer and also Oncology, Neurology, Cardiology and other directions. The possibilities of urological treatment include robot-assisted surgeries using the Da Vinci
The Vivantes Am Urban Hospital is an academic clinic at the Charité University Hospital. Many departments of the hospital are recognized for their outstanding medical and patient care services. The hospital also includes the Breast Center, the Tumor Center with the specialization "Gastrointestinal oncology" and
An academic clinic of the university medical complex Charité, the Vivantes Humboldt Hospital is one of the largest specialized medical institutions in Berlin. The hospital is famous for its impeccable reputation in the field of traumatology, orthopedics, urology and gynecology, as well as treatment of oncological diseases
Founded in 1990, the JSC Medicina Clinic is an interdisciplinary medical center, which includes a polyclinic, an interdisciplinary inpatient clinic, round-the-clock emergency medical services and the state-of-the-art Sofia Cancer Center. With more than 300 doctors, the clinic offers a wide range of medical services. Within the f
The Urology Clinic Frechen-Koenigsdorf is a modern medical facility focused on providing highly qualified care to patients with urological diseases. The clinic provides comprehensive medical services to women, men, and children with diseases of the urinary system. The clinic's team of doctors also specializes in the treatmen
University Hospital Mainz
University Hospital Mainz
Overall rating9.7 / 10
The University Hospital Mainz is one of the best maximum care medical facilities in Germany and an internationally recognized scientific center. There are more than 60 departments and institutes, which represent all fields of modern medicine. The hospital serves more than 68,000 inpatients and more than 273,000 outpatients annua
The Hirslanden Andreasclinic Cham Zug Cham provides the high-quality medical services both in the region and throughout the country. The medical complex is part of the Hirslanden Private Hospital Group, which is known throughout Europe for its extremely high treatment success rates. The key areas of specialization of the clinic
The Assuta Hospital Tel Aviv was opened in 2009 and today it is one of the largest, modern hospitals with the highest treatment success rates in Israel. The сlinical practice is based on the use of the state-of-art technologies in the world of medicine. The compliance with the high level of medical care and cooperation with the
Beta Clinic Bonn
Beta Clinic Bonn
Overall rating9.7 / 10
The Beta Clinic Bonn is a modern private healthcare facility with 20 specialized departments. In addition, the clinic cooperates with 30 independent doctors of various specializations, most of whom have their own private practices. The doors of the clinic first opened for patients in 2008. Since that time, the medical facility h
The Merian Iselin Clinic Basel is a leading Swiss medical center with outstanding quality of medical care. The key areas of specialization of the clinic are orthopedics and surgery. The work of the specialists in the field of urology and sports medicine (accreditation as the Swiss Olympic Medical Center) is also particularly suc
MedVZentrum Ebersberg
MedVZentrum Ebersberg
Overall rating9.5 / 10
The MedVZentrum Ebersberg is a specialized medical center for urology and general medicine. It is a member of the certified Prostate Center Munich and the professional Association of Urologists in Ebersberg. The patients of the center are offered the whole spectrum of modern urology.
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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