FOURNIERS GANGRENE OF THE EXTERNAL GENITALIA: PLASTIC RECONSTRUCTION BY THIN SKIN GRAFT

To present our contribution to surgical reconstruction ofFourniers Gangrene of the External Genitalia (FG-EG), depending on the lesions.This is a retrospective study of 32 patients initially treated in the urology department of the Mohammed VI University Hospital of Marrakech, between January 2016 and December 2021. The mean age of the patients was 51. (30-72) years. All were men. All of them presented an infectious picture, thirteen of them were treated by hydroelectrolytic resuscitation and tri-antibiotic therapy. The skin lesions observed concerned the external genitalia (EG) in 08 cases (25%), then the scrotum and perineum in 24 cases (75%). All skin lesions were stripped, followed by local dressings. Thus, 28 patients (87.5%) had healed after a thin skin graft taken from the inner thigh, and 04 patients (12.5%) presented with a graft release and were then led in directed healing. Gangrene of the external genitalia FG-EG is a serious condition, which realizes, on the one hand, a toxi-infection treated by resuscitation and tri-antibiotic therapy, on the other hand, more or less extensive skin lesions requiring debridement, stripping, dressing, and then a plastic surgical reconstruction that restores an adequate penoscrotal environment that does not compromise the quality of sexual intercourse as well as the reproductive function of the testicles, especially in the young subject.