Vacuum scaling drainage as an adjuvant treatment of penile and scrotal gangrene:Clinical analysis of 4 cases
ZHU Tong
LIAO Liang-gong
LI Yan-feng
LIU Xu-dong
HU Ming
ZHANG Yong
LI Zhong-tai
CAO Quan-fu
JIANG Jun
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.Conclusion: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.
Keywords:penile and scrotal gangreneFournier gangrenevacuum sealing drainage
Publication Date:2017-03-02
Online Publishing Date:2025-08-15(First online date of this platform, not the publication date of the document)
Pages:6( 237-242 )
