Fournier’s Gangrene: Analysis of Risk Factors Affecting Mortality in a Tertiary Urology Referral Center
Journal Title: Journal of Urological Surgery - Year 2019, Vol 6, Issue 3
Abstract
Objective: We aimed to investigate the risk factors affecting mortality in patients with Fournier’s gangrene (FG). Materials and Methods: Records of 48 male patients, who were admitted to our urology clinic between November 2011 and June 2018, were analyzed. The patients were divided into two groups according to their survival status. statistical analyses were done to determine the risk factors for mortality. Results: The mean age was 53.9±12.61 years. 41 patients were discharged (group 1) and 7 were deceased (group 2). The mortality rate was 14.6%. Increased age, Fournier’s Gangrene Severity Index (FGSI) scores, prolonged operative time, presence of immunosuppressive diseases, abdominal spread of the disease, history of cystostomy, mechanical ventilation requirement, and multiple micro-organism in wound culture were found to be risk factors for mortality in patients with FG. Conclusion: Increased age, high FGSI scores, increased operative time, presence of immunosuppressive diseases, history of cystostomy, abdominal spread of the disease, mechanical ventilation requirements, and multiple micro-organism in wound culture were thought to affect mortality in patients with FG.
Authors and Affiliations
Sinharib Çitgez, Çetin Demirdağ, Mustafa Özkaya, Berin Selçuk, Ahmet Erözenci
Urothelial Carcinoma of the Upper Urinary Tract That Becomes Resectable After Neoadjuvant Chemotherapy: A Case Report and Review of the Literature
Upper tract urothelial carcinoma (UTUC) is less common than bladder cancer, but its incidence is increasing. Neoadjuvant chemotherapy (NAC) has been the treatment focus for locally invasive and high-grade UTUC. Herein, w...
Does Masturbation Frequency Effect Sperm Parameters?
Objective: To evaluate the relationship between male infertility and masturbation habits of patients who cannot provide a sperm sample. Materials and Methods: A total of 48 male patients aged 22-44 years who presented w...
Impact of Chronic Constipation on Lower Urinary Tract Symptoms and Uroflowmetry Parameters in Men
Objective: To evaluate the benefits of functional constipation (FC) management in male patients with male lower urinary tract symptoms (LUTS) coexisting with FC. Materials and Methods: We conducted a prospective study i...
Accuracy and Delay of Using Ultrasound in Testicular Torsion
Objective: Testicular torsion is an emergency which can result in testicular loss. Ultrasounds are controversial due to the delay in time to theatre. Our study aimed to quantify the delays in time to theatre as well as r...
Evaluation of Treatment Applications and Antibiotic Resistance Rates for Community Acquired Urinary Tract Infections in Turkey and a Review of the Literature
Objective: Increased extended-spectrum beta lactamase (ESBL) production is associated with higher rates of community-acquired strains in urinary tract infections (UTI) leading to an increase in the resistance rates, dura...