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Case of Fournier’s Gangrene in a Patient with Long-Term Indwelling Catheterization due to Urinary Incontinence after Open Radical Prostatectomy

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초록

Fournier’s gangrene is a life-threatening disease that needs to be treated as soon as possible. An 82-year-old male, who exchanged a urethral catheter once a month for urinary incontinence management after open radical prostatectomy, presented with an acute onset of mental change and general weakness. After ten days’ hospitalization, the disease was diagnosed. The scrotal wall was opened, and the infectious tissue was exposed to the air and kept open with an aseptic dressing. After 45 days, his scrotal wound healed and returned to its typical appearance without scarring and wound disruption. He recovered fully from the infection. This paper reports a case of Fournier’s gangrene in a patient with long-term indwelling catheterization due to urinary incontinence after an open radical prostatectomy with a literature review.

Abstract

Fournier’s gangrene is a life-threatening disease that needs to be treated as soon as possible. An 82-year-old male, who exchanged a urethral catheter once a month for urinary incontinence management after open radical prostatectomy, presented with an acute onset of mental change and general weakness. After ten days’ hospitalization, the disease was diagnosed. The scrotal wall was opened, and the infectious tissue was exposed to the air and kept open with an aseptic dressing. After 45 days, his scrotal wound healed and returned to its typical appearance without scarring and wound disruption. He recovered fully from the infection. This paper reports a case of Fournier’s gangrene in a patient with long-term indwelling catheterization due to urinary incontinence after an open radical prostatectomy with a literature review.

참고문헌 (9)

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  2. 허정식, "The Effectiveness of Cystography-Measured Bladder Neck Elevation at Predicting the Return of Continence After Robot-Assisted Radical Prostatectomy", International Neurourology Journal, 23(3), pp.234~239 (2019), 대한배뇨장애요실금학회[DOI]
  3. Karakiewicz PI, "Erectile and urinary dysfunction after radical prostatectomy for prostate cancer in Quebec : a population-based study of 2415 men", Eur Urol, 46, pp.188~194 (2004)
  4. Hammerer P, "Urodynamic evaluation of changes in urinary control after radical retropubic prostatectomy", J Urol, 157, pp.233~236 (1997)
  5. Sandhu JS, "Incontinence after prostate treatment : AUA", SUFU guideline, 2019, pp.202, 369~378
  6. Holroyd-Leduc JM, "Risk factors for indwelling urinary catheterization among older hospitalized patients without a specific medical indication for catheterization", J Patient Saf, 1, pp.201~207 (2005)
  7. Management of patients with long-term indwelling urinary catheters: a review of guidelines, "Lachance CC", Canadian Agency for Drugs and Technologies in Health, 1~25 (2019)
  8. Sugihara T, "Impact of surgical intervention timing on the case fatality rate for Fournier’s gangrene : an analysis of 379cases", BJU Int, 110(11 Pt C), pp.E1096~E1100 (2012)
  9. Eke N, "Fournier’s gangrene : a review of 1726 cases", Br J Surg, 87, pp.718~728 (2000)

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