Saturday, February 12, 2011

General Urology

Q How is Fournier's  gangrene treated. What is the mortality rate?

A. Fournier's gangrene is treated by prompt debridement , Broad spectrum antibiotics and surgical debridement. Mortality rate ranges from 6-20%

Q What is the most common organism associated with Fournier's gangrene

A Staphylococcus and Streptococci

   Now even gram negative organisms and anaerobes are being cultured

Q. Is orchidectomy needed in debridement of Fournier's gangrene

A.  No

Testis can be preserved because 

1. They have a separate blood supply

2. They can be placed in a pouch in the thigh

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