Fournier's syndrome: Synergistic gangrene of the scrotum

Ross Rudolph, Mark Soloway, Ralph G. DePalma, Lester Persky

Research output: Contribution to journalArticlepeer-review

64 Scopus citations


Progressive spread of necrosis in the skin and subcutaneous tissues of the scrotum is the key feature of idiopathic scrotal gangrene. The disease may present initially as an acute abdomen, but laparotomy should be avoided. Usually an anaerobic Streptococcus is found, acting in synergism with aerobic, frequently gram-negative, bacilli. As in other synergistic gangrenes, wide debridement with drainage of all sinus tracts is required. Although the testicles are frequently bared, they are usually not necrotic and should not be amputated. Once the infection has resolved, a surprising amount of skin coverage, including coverage of the testicles, can often be obtained from the scrotal remnants.

Original languageEnglish (US)
Pages (from-to)591-596
Number of pages6
JournalThe American Journal of Surgery
Issue number5
StatePublished - May 1975

ASJC Scopus subject areas

  • Surgery


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