{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T09:34:52Z","timestamp":1790847292914,"version":"4.1.0"},"reference-count":20,"publisher":"S. Karger AG","issue":"2","license":[{"start":{"date-parts":[[2011,1,1]],"date-time":"2011-01-01T00:00:00Z","timestamp":1293840000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"},{"start":{"date-parts":[[2011,1,1]],"date-time":"2011-01-01T00:00:00Z","timestamp":1293840000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Urol Int"],"published-print":{"date-parts":[[2011]]},"abstract":"<jats:p>Objective: To review multi-institutional, multidisciplinary experience in the management of Fournier\u2019s gangrene (FG) in an attempt to identify etiologic parameters as well as to propose methods of efficient management. Patients and Methods: Retrospective chart review of 45 patients diagnosed with FG and treated in three departments (general surgery and urology departments) was performed. Results: Average patient age was 50 \u00b1 15.8 (range 33\u201381) years. Five female and 40 male patients. Seven patients deceased due to the disease. In 26 and 6 cases, perianal or ischiorectal abscess was present, respectively. These abscesses were extending up to the level of rectovesical\/Douglas pouch in 12 cases. Abscesses in the scrotum and perineum were revealed in 10 and 6 cases, respectively. A fistula to the rectum and 8 sinuses to the skin were observed. Colostomy was performed in 25 cases, diverting cystostomy in 17, and orchidectomy in 12 cases. In 18 patients (40%) repeat debridement was deemed necessary. Three patients required more than 3 debridement procedures. Average hospitalization time was 15.7 \u00b1 11.6 (range 4\u201340) days. Conclusion: FG is a life-threatening form of necrotizing soft tissue infection. The disease is unpredictable and the currently proposed methods for prognosis are promising but still questionable.<\/jats:p>","DOI":"10.1159\/000321691","type":"journal-article","created":{"date-parts":[[2011,3,18]],"date-time":"2011-03-18T08:39:56Z","timestamp":1300437596000},"page":"167-172","source":"Crossref","is-referenced-by-count":47,"title":["Fournier\u2019s Gangrene, a Urologic and Surgical Emergency: Presentation of a Multi-Institutional Experience with 45 Cases"],"prefix":"10.1159","volume":"86","author":[{"given":"Dimitrios","family":"Koukouras","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panagiotis","family":"Kallidonis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Constantinos","family":"Panagopoulos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhulrahman","family":"Al-Aown","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anastasios","family":"Athanasopoulos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christos","family":"Rigopoulos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleftherios","family":"Fokaefs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jens-Uwe","family":"Stolzenburg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petros","family":"Perimenis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evangelos","family":"Liatsikos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2011,1,8]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1111%2Fj.1464-410X.2003.04753.x"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1046%2Fj.1365-2168.2000.01497.x"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1007%2Fs00595-006-3391-6"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1007%2Fs11255-008-9401-4"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016%2FS0090-4295%2896%2980017-3"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1046%2Fj.1464-410x.1998.00532.x"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016%2FS0090-4295%2802%2901951-9"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1007%2Fs00268-005-0777-3"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016%2FS0168-8227%2897%2900125-3"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1111%2Fj.1464-410X.1988.tb06596.x"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016%2FS0090-4295%2894%2980230-0"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1111%2Fj.1464-410X.1988.tb05104.x"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1007%2Fs00192-003-1101-0"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1097%2F00005392-199507000-00032"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1111%2Fj.1464-410X.1989.tb06020.x"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.juro.2009.01.034"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.4103%2F0022-3859.40776"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.juro.2008.05.021"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.4103%2F0022-3859.40775"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.urology.2004.03.049"}],"container-title":["Urologia Internationalis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/uin\/article-pdf\/86\/2\/167\/3904049\/000321691.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/karger.com\/uin\/article-pdf\/86\/2\/167\/3904049\/000321691.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T19:02:49Z","timestamp":1745434969000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000321691"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011]]},"references-count":20,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2011,3,1]]},"published-print":{"date-parts":[[2011,3,21]]}},"URL":"https:\/\/doi.org\/10.1159\/000321691","archive":["Portico"],"relation":{},"ISSN":["0042-1138","1423-0399"],"issn-type":[{"value":"0042-1138","type":"print"},{"value":"1423-0399","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011]]}}}