Author(s)

Timothée Kambou¹, Adama Ouattara¹, Abdoulkarim Paré¹, Brahima Kirakoya², Fasnéwindé Aristide Kaboré², Hassan Dogo³, Hamidou Bako¹

¹Department of Urology, Sanon Souro Teaching Hospital, Bobo Dioulasso, Burkina Faso.
²Department of Urology, Yalgado Ouedraogo Teaching Hospital, Ouagadougou, Burkina Faso.
³Department of Surgery, Division of Urology, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria.

Objective: To describe the clinical aspects and the management of external genitalia gangrene in the Urology department of the Bobo Dioulasso CHUSS. Patients and methods: 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. Results: 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%. Conclusion: 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.

Gangrene, External Genitalia, Debridement

Kambou, T. , Ouattara, A. , Paré, A. , Kirakoya, B. , Kaboré, F. , Dogo, H. and Bako, H. (2017) External Genitalia Gangrene: Clinical, Therapeutic Aspects and Prognosis at University Hospital Souro Sanou of Bobo Dioulasso (Burkina Faso). Open Journal of Urology, 7, 235-242. doi: 10.4236/oju.2017.712028.