What are the signs and symptoms of Fournier gangrene in males?

Updated: Sep 02, 2020
  • Author: Steven A Schulz, MD; Chief Editor: Michael Stuart Bronze, MD  more...
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Fournier gangrene in males begins with local tenderness, itching, edema, and erythema of the scrotal skin. This progresses to necrosis of the scrotal fascia. The scrotum enlarges to several times its normal diameter. If the process continues beyond the penile-scrotal region to the abdomen or the upper legs, the normal picture of necrotizing fasciitis can be seen.

In males, the scrotal subcutaneous layer is so thin that most patients present after the skin is already exhibiting signs of necrosis. In 2-7 days, the skin becomes necrotic, and a characteristic black spot can be seen. Early on, this infection may resemble acute orchitis, epididymitis, torsion, or even a strangulated hernia.

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