{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T07:28:19Z","timestamp":1793777299817,"version":"4.6.1"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T00:00:00Z","timestamp":1792368000000},"content-version":"vor","delay-in-days":18,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Fournier's gangrene tracking cephalad along spermatic cords complicates source control and soft tissue reconstruction. We describe a 61-year-old male with poorly controlled diabetes who presented with extensive scrotal necrotizing fasciitis tracking superiorly to the suprapubic region. Following wide excisional debridement, bilateral Penrose drains were passed through the spermatic cord tunnels and brought out through dependent perineal counter incisions. This technique provided effective through-and-through drainage of the cephalad tracts while limiting abdominal tissue loss. Deep wound cultures uniquely grew methicillin-resistant Staphylococcus aureus as a monomicrobial organism. Following serial debridements, a dermal regeneration template was applied to the scrotal and perineal defect, followed by staged split-thickness skin grafting. Complete coverage and structural preservation were achieved without the need for urinary or fecal diversion.<\/jats:p>","DOI":"10.1093\/jscr\/rjag934","type":"journal-article","created":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T18:56:03Z","timestamp":1792436163000},"source":"Crossref","is-referenced-by-count":0,"title":["Spermatic cord tunnel Penrose drainage for cephalad-tracking Fournier\u2019s gangrene: a case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-7121-1752","authenticated-orcid":false,"given":"Sepideh","family":"Garrosi","sequence":"first","affiliation":[{"name":"Florida International University, Herbert Wertheim College of Medicine , 11200 SW 8th Street, Miami, FL 33199 ,","place":["United States"]},{"name":"American University of Antigua, College of Medicine , University Park, Jabberwock Beach Road, PO Box W1451, Coolidge ,","place":["Antigua and Barbuda"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2680-0014","authenticated-orcid":false,"given":"Necial","family":"Marcelin","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Larkin Community Hospital , 7031 SW 62nd Avenue, South Miami, FL 33143 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingrid","family":"Paredes","sequence":"additional","affiliation":[{"name":"Baptist Health Homestead Hospital , 975 Baptist Way, Homestead, FL 33033 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9873-5276","authenticated-orcid":false,"given":"Marlon","family":"Pastrana","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Larkin Community Hospital , 7031 SW 62nd Avenue, South Miami, FL 33143 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,10,19]]},"reference":[{"key":"2026110401425359100_ref1","doi-asserted-by":"publisher","first-page":"718","DOI":"10.1046\/j.1365-2168.2000.01497.x","article-title":"Fournier's gangrene: a review of 1726 cases","volume":"87","author":"Eke","year":"2000","journal-title":"Br J Surg"},{"key":"2026110401425359100_ref2","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1046\/j.1464-410x.1998.00532.x","article-title":"Fournier's gangrene","volume":"81","author":"Smith","year":"1998","journal-title":"Br J Urol"},{"key":"2026110401425359100_ref3","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1046\/j.1464-410x.1999.00140.x","article-title":"Fournier's gangrene in a modern surgical setting: improved survival with aggressive management","volume":"84","author":"Corman","year":"1999","journal-title":"BJU 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[Internet]","author":"Leslie","year":"2026"},{"key":"2026110401425359100_ref8","doi-asserted-by":"publisher","first-page":"5777235","DOI":"10.1155\/2021\/5777235","article-title":"New methods of reconstruction for old challenges: the use of the Integra graft in necrotizing soft tissue infections of the male genitalia","volume":"2021","author":"Mitchell","year":"2021","journal-title":"Case Rep Urol"},{"key":"2026110401425359100_ref9","first-page":"135","article-title":"The reconstructive ladder in external genital soft tissue reconstruction","volume":"116","author":"Heitmann","year":"2005","journal-title":"Plast Reconstr Surg"},{"key":"2026110401425359100_ref10","first-page":"389","article-title":"Dermal regeneration templates in complex soft tissue deficits of the trunk and perineum","volume":"71","author":"Chim","year":"2013","journal-title":"Ann Plast Surg"},{"key":"2026110401425359100_ref11","first-page":"1102","article-title":"Split-thickness skin grafting combined with dermal 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