Successful Management of Fournier’s Gangrene at Geetanjali Multispeciality Hospital, Wai

What is Fournier’s Gangrene?

Fournier’s Gangrene is a rare but life-threatening infection that affects the scrotum and perineal region. It spreads rapidly, causing tissue death (gangrene), severe pain, swelling, and pus discharge. Without urgent treatment, it can lead to high morbidity and even mortality.

Patient Background

A 38-year-old unmarried farmer was referred to Geetanjali Multispeciality Hospital, Wai with a foul-smelling wound, swelling, and pain in the scrotum. He had been suffering from pain and redness for nearly 3–4 months.

On examination, 50% of his scrotum was gangrenous with pus discharge, confirming the diagnosis of Fournier’s Gangrene.

Emergency Surgical Intervention

The patient was immediately taken for emergency debridement under spinal anesthesia.

• Most of the anterior scrotal skin, dartos muscle, and testicular layers were debrided.

• Both spermatic cords were washed and preserved.

• Fortunately, both testis were viable, with no involvement of the cords.
  

Post-Operative Care

• The patient received triple IV antibiotics and daily dressings for 2 weeks, with repeated wound cultures.

• Once the wound was clean, he underwent primary closure of the scrotum.

• A scrotal pouch was created by raising skin flaps up to the groin crease, followed by midline suturing with a minivac drain.

• Drain and sutures were removed on day 5 and day 12 respectively, leading to smooth recovery.
  

Why Early Treatment Matters?

• Fournier’s Gangrene has a 60–70% morbidity rate if inadequately treated.

• Early diagnosis, timely referral, and appropriate surgical intervention drastically reduce complications.
  

A Team Effort

This case was successfully managed at Geetanjali Multispeciality Hospital, Wai, thanks to the timely referral by Dr. Ajit Prabhale and the dedicated support of our anesthetists Dr. Ulka Pol and Dr. Vidula Kane.

Conclusion

At GMH, Wai, we are committed to providing advanced surgical and emergency care in rural regions. This case demonstrates how expert intervention, teamwork, and modern surgical techniques can save lives even in high-risk infections like Fournier’s Gangrene.

Operating Surgeon: Dr. Siddhant Jayaghosh Kaddu Consultant General & Laparoscopic Surgeon, Endoscopist Geetanjali Multispeciality Hospital, Wai