Vacuum sealing drainage as an adjuvant treatment of penile and scrotal gangrene: Clinical analysis of 4 cases.
- Author:
Tong ZHU
1
;
Liang-Gong LIAO
1
;
Yan-Feng LI
1
;
Xu-Dong LIU
1
;
Ming HU
1
;
Yong ZHANG
1
;
Zhong-Tai LI
1
;
Quan-Fu CAO
1
;
Jun JIANG
1
Author Information
1. Department of Urology, Research Institute of Field Surgery, Daping Hospital, The Third Military Medical University, Chongqing 400042, China .
- Publication Type:Case Reports
- Keywords:
Fournier gangrene;
penile and scrotal gangrene;
vacuum sealing drainage
- MeSH:
Debridement;
Gangrene;
therapy;
Genital Diseases, Male;
pathology;
prevention & control;
therapy;
Humans;
Male;
Negative-Pressure Wound Therapy;
methods;
Penis;
pathology;
Retrospective Studies;
Scrotum;
pathology;
Testis;
pathology;
Treatment Outcome;
Vacuum
- From:
National Journal of Andrology
2017;23(3):237-242
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To search for an optimal strategy for the treatment of penile and scrotal gangrene by analyzing the clinical effect of vacuum sealing drainage (VSD) as an adjuvant treatment on this disease.
METHODS:We retrospectively analyzed the clinical data about 4 cases of penile and scrotal gangrene treated by VSD as an adjuvant treatment from January 2015 to June 2016. The 4 patients all underwent early extensive and radical debridement of gangrene of the scrotum and penis and received intravenous injection of two broad-spectrum antibiotics, followed by VSD for wound drainage and irrigation.
RESULTS:Adequate wound drainage was achieved in all the 4 cases, the gangrene range rapidly localized and testicular necrosis avoided. The wound surface healed satisfactorily after cleansing and suturing. The patients were followed up for 3 months after discharged from the hospital and none experienced recurrence.
CONCLUSIONS:VSD combined with early adequate debridement can effectively localize the gangrene range, significantly reduce the frequency of changing dressings and shorten the hospitalization time of the patient, and therefore is a very effective adjuvant treatment of penile and scrotal gangrene.
