DOI: 10.36347/sjams.2016.v04i05.030

Pages: 1589-1595

The objective was Fournier's gangrene is a rare rapidly progressive, fulminant form of necrotizing fasciitis of the genital, perianal, perirectal regions. Several factors have been reported to contribute to the clinical outcomes. The primary aims of this study were to examine the clinical features of patients with Fournier's gangrene & evaluate the predictivity of Fournier's gangrene severity index score on the outcomes.This is prospective study of 18 months of 50 patients diagnosed & treated for Fournier's gangrene in Basaveshwar Teaching and General Hospital, 50 patients with Fournier's gangrene were included in the study. Data was collected from December 2013 to May 2015.The Perianal, perirectal abscess, scrotal abscess & urethral strictures were the leading etiological factors. Age between 51 -70 were most affected (62%) with mean age 55 years. Males are predominantly affected. People of lower socioeconomic status were commonly affected with 78% being farmers & laborers. Diabetes mellitus & alcoholism were the predominant risk factors Lowest FGSI score was 2 & highest was 14 with the mean FGSI score for survivors being 4.5±1.3 & in non survivors 11.5±1.3. T value 13.5279, p value< 0.05. The mean duration of hospital stay 30±16.Based on our study the comorbid conditions & the extent of the disease at presentation are the most important factors determining the prognosis of Fournier's gangrene. FGSI Scores considered as an objective & simple tool to predict the outcome in the patients with Fournier's gangrene.