Gangrene of the External Genitalia: Vital and Functional Prognosis in the Urology Department of the Cocody University Hospital from 2010 to 2022

Benjamin Kouame; Felicite Nykan Kramo; Issoufou Coulibaly; Ali Drabo; Tano Kouamé William Armand

doi:doi:10.11648/j.ijcu.20250902.22

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Gangrene of the External Genitalia: Vital and Functional Prognosis in the Urology Department of the Cocody University Hospital from 2010 to 2022

Benjamin Kouame^*

, Felicite Nykan Kramo

, Issoufou Coulibaly

, Ali Drabo

, Tano Kouamé William Armand

Published in International Journal of Clinical Urology (Volume 9, Issue 2)

Received: 29 September 2025 Accepted: 13 October 2025 Published: 31 October 2025

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Abstract

Intoduction: The aim of our study was to identify the factors that determine the vital and functional prognosis of patients with gangrene of the external genitalia. Patients and Methods: Our study is retrospective and descriptive. It concerned all patients treated for Gangrene of the external genitalia (GOGE) in the Urology Department of the Cocody University Hospital over a period of 13 years. Results: Among the 3244 patients consulted for a surgical pathology, 73 (2.25%) had a GOGE. The mean age of patients was 48.81 years with extremes of 19 and 74 years. The majority of patients were male. The main reasons for consultation were scrotal swelling (41.1%) and perineal pain. More than half (53.1%) consulted between 8 and 15 days. Gangrene mainly affected the scrotum, perineum, and in some cases, the penis and pelvis. Diabetes was the most common risk factor (50.68%), followed by alcoholism (23.29%) and acute kidney injury (15.07%). Urological causes were the most common with more than half of the cases (61.64%). All patients underwent surgical debridement. Triple broad-spectrum antibiotic therapy combining a 3rd generation cephalosporin, an Imidazole and an Aminoside was initiated in the majority of cases (93.15%). Nearly half of the patients were treated the day after their admission. The cure rate was 89.04%, with a mortality rate of 6.85%. Major erectile dysfunction and dysuria were found in 35.61% and 34.25% of patients, respectively. Conclusion: Early therapeutic management, well-codified treatment and a multidisciplinary care pathway could improve patients' prognostic factors. Our study suggests that patients surviving after gangrene of the external genitalia show a marked and continuous impairment in their overall urological and sexual quality of life.

Published in	International Journal of Clinical Urology (Volume 9, Issue 2)
DOI	10.11648/j.ijcu.20250902.22
Page(s)	180-186
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

Gangrene, Prognosis, Genitals

1. Introduction

GOGE is a necrotizing fascist of the external genitalia, perineum and perianal region related to thrombosis of the small subcutaneous vessels.

[1-3]

Its occurrence is favored by regional locomotive causes such as urinary tract infections, urethral strictures, perianal infections.

[4]

This condition is exacerbated by risk factors including chronic alcoholism, immunosuppression and diabetes.

[5-8]

It is a serious pathology, with a rapid and unpredictable progression to necrosis and can be life-threatening.

[5, 9-11]

This study was therefore initiated with the aim of highlighting the factors determining the vital and functional prognosis of patients with gangrene of the external genitalia.

2. Patients and Method

Our study is retrospective and descriptive. It concerned all patients treated for GOGE in the Urology Department of the Cocody University Hospital over a period of 13 years. Data were collected from hospitalization records, patient records, and operative reports, achieved in they patients hospitalization files.

3. Results

3.1. Epidemiology

Among the 3244 patients consulted for a surgical pathology, 73 (2.25%) had a GOGE.

The mean age of patients was 48.81 years with extremes of 19 and 74 years.

All patients were male. The most affected occupations were traders followed in famers as illustrated in Figure 1.

Download: Download full-size image

Figure 1. Distribution by occupation.

3.2. Clinical

The main reasons for consultation were scrotal swelling (41.1%) and perineal pain (24.66%) (Figure 2).

More than half (53.1%) consulted between 8 and 15 days Details of consultation times are shown in Table 1.

Gangrene mainly affected the scrotum, perineum and in some cases, the penis and pelvis as shown in Table 2.

Download: Download full-size image

Figure 2. Distribution by Reason for Consultation.

Table 1. Distribution by consultation time.

TIME LIMIT FOR CONSULTATION	NUMDER (n)	PERCENTAGES (%)
The first 7 days	25	34,25
Between 8 and 15 days	39	53,42
After 15 days	9	12,33
Total	73	100,00

Table 2. Distribution by site of lesions.

SEATS	NUMBER (n)	PERCENTAGES (%)
Not Successful	4	5,48
Penis	1	1,37
Penis + Scrotum	10	13,70
Penis+Perineum+Scrotum+Pelvis	3	4,11
Perineum	9	12,33
Perineum + scrotum	24	32,88
Scrotum	22	30,14
Total	73	100,00

3.3. Risk Factors and Etiologies

Diabetes was the most common risk factor (50.68%), followed by alcoholism (23.29%) and acute kidney injury (15.07%). (Table 2)

Urological causes were the most common with more than half of the cases (61.64%). (Figure 3)

Table 3. Distribution by Risk Factors.

RISK FACTORS	STAFF (n)	PERCENTAGES (%)
HIV ((human immunodeficiency virus)	2	2,74
Diabetes	37	50,68
Obesity	1	1,37
AKI (acute kidney injury)	11	15,07
Malnutrition	1	1,37
Alcoholism	17	23,29
Drug	1	1,37
Poor Hygiene	8	10,96
Tobacco	15	20,55

Download: Download full-size image

Figure 3. Distribution by etiologies.

Download: Download full-size image

Figure 4. Gangrene of external genitalia.

3.4. Treatment

All patients underwent surgical debridement. In addition, the bladder was drained by surgical cystostomy in 6 cases. A shunt colostomy was performed in 5 cases when perineal lesions were extensive.

A triple broad-spectrum antibiotic therapy combining a 3rd generation cephalosporin, an Imidazole and an Aminoside was initiated in the majority of cases. (93,15%).

Nearly half of the patients were treated the day after their admission.

3.5. Outcome

The cure rate was 89.04%, with a mortality rate of 6.85%. Major erectile dysfunction and dysuria were found in 35.61% and 34.25% of patients, respectively.

Factors negatively influencing the prognosis included a delay in management of more than 3 days and the locoregional extent of gangrene. The consequences are physical and psychological. There is a reduced physical capacity in 8.22% of patients; discomfort when sitting in 41.09%; chronic anxiety in 17.80%.

Symptoms of the lower urinary tract predominated during the emptying phase with 34.25% of cases of dysuria.

4. Discussion

4.1. Epidemiological

4.1.1. Age

The mean age of our patients was 48.81 years+/- 13.75 years with extremes ranging from 19 to 74 years. The age group of 35-50 years predominates with 34.25%.

Our results are similar to those of Diallo A.

[12]

and Dicko

[13]

in Mali, who found an average age of 50 and 52 years, respectively, with extremes of 17 and 73 years, respectively; and 22 and 95 years old.

BAH. I

[14]

in his study done in Guinea reported an average age of 45 years with extremes of 20 and 70 years. This is comparable to our result. Fall B et al.

[15]

in Dakar reported a mean age of 50 years with extremes of 20 and 93 years. This confirms that gangrene of the external genitalia is a pathology of young adults. However, in the literature, rare forms in the elderly and newborns have been observed.

4.1.2. Sex

In our study, all the cases observed were male, as long as TOVAR and DIALLO had the female participation

[8, 16]

. In addition, female disease, although rare, remains possible. This could be explained by the fact that cases of GOGE in women are treated in the gynecology department. However, men are ten times more affected than women; This difference can be explained by better drainage of the perineal region in women through vaginal secretions.

4.2. On the Clinical Level

4.2.1. Reason for Consultation

Scrotal swelling was the most frequent reason for consultation with 41.10%. Our results are higher than those of K. BORKI

[17]

who reported 26.1%.

4.2.2. Consultation Period

The majority of our patients (53.42%) had consulted between the^8th and 15th day after the onset of the disease. This delay in diagnosis thus increases the prognosis of life. Our results were identical to those of TOVAR (25.55%)

[8]

who had consulted between 8 and 30 days, the 12.33% had consulted after 15 days. This delay in consultation was due to ignorance of the disease, self-medication or treatment for another pathology.

4.2.3. Site of the Lesions

Lesions of the perineum and scrotum predominated in our study, they represented 32.88%; on the other hand, Salla KOKAINA et al.

[18]

who found scrotal lesions predominant at 57.1%.

4.2.4. Etiologies

Urological etiologies (urethral narrowing, urethritis) predominated in our study, representing 61.64%; this observation is also made by DIALLO. A

[12]

which finds a predominant urogenital etiology with 29.9%.

4.2.5. Time for Management

In our series, the average time taken to take care of the patient was 3 days, NOUHOUM DICKO et al

[13]

in Mali has almost doubled to 7 days. This could be explained by the underestimation of the disease by the patients themselves and the financial difficulties presented by some patients. BOYER A. and VARGAS F

[19]

in France, in their study of 195 patients hospitalized for GOGE, demonstrated that prolonged waiting time in the emergency department of more than 8 hours is associated with mortality, whereas early surgery would be beneficial. This denotes that GOGE is a medical-surgical emergency.

4.3. Management

4.3.1. Antibiotic Therapy

Antibiotic tritherapy was initiated upon admission to our study. This antibiotic tritherapy was administered parenterally, probabilistic, broad-spectrum and normally active on anaerobic germs, Gram-positive Cocci and Gram-negative bacilli. It combined a third-generation cephalosporin, an aminoglycoside and an imidazole in 93.15%. This is because the evolution of gangrene leads to a picture of sepsis.

In the BORKI K. series, all patients were treated with the combination of: Penicillin 200000IU/kg/day + Metronidazole 1.5g/day + Aminoside

[17]

And for GARCIA MORUA A

[20]

. The most commonly used antibiotic regimen in their patients is: Ofloxacin 400mg IV/12h + Clindamycin 600mg IV/6h.

4.3.2. Surgery

The surgical management of patients in our series consisted of a complete excision of all necrotic skin surfaces in the penis, scrotum and perineum, removing all dead tissue, which was the case for other authors. This treatment was performed under general anesthesia.

This radical treatment has the advantage of slowing down the progression of gangrene and limiting surgical revisions. Other authors argue that debridement should be limited to tissue that has been clearly damaged by necrosis so that perineal skin cells can regenerate later without a secondary graft.

[21, 22]

To this end, all the patients in our series have benefited from the debridement technique with an acceptable aesthetic result in the medium term.

In addition, in our study, 05 patients had undergone a colostomy because they had fecal incontinence (which could contaminate the wounds leading to gluteal bedsores).

A transurethral urinary catheterization was performed in 67 patients, six cystostomy were performed for urethral stenosis.

4.4. Evolution

Mortality rates from gangrene of the external genitalia reported in the literature range from 5% to 45%

[23]

. The overall mortality rate in our series was 6.85%, which is in line with data from other studies such as the one carried out by El Moussaoui et al

[24]

in Morocco; The mortality rate ranged from 9% to 28%. This result can be explained by the age of the patients as well as the delay in surgical management, which was one day in 45.21% of patients, in addition to the broad-spectrum antibiotic tritherapy introduced at admission. Indeed, the age range that predominates in our study is between 35 and 50 years old.

In our study, we observe that the more extensive the gangrene, the lower the chances of recovery. The death rate increases with the time it takes to receive treatment. More deaths were observed in patients who were treated after 03 days.

To better assess the vital prognosis, we established a link between locoregional extension and the duration of hospitalization, the time taken to care and the evolution, diabetes and the duration of hospitalization.

We have noticed that:

-diabetic patients as well as those with gangrene extended to the abdominal wall spent two weeks to one month in hospitalization.

-the number of deaths was higher in patients treated within three days or more.

In view of these results, we can say that diabetes, regional locomotive extension and the delay in treatment of more than three days are factors of poor prognosis because they are life-threatening for the patient.

4.5. Quality of Life

The medium- and long-term evaluation of psychological and functional quality of life after the management of this dilapidated pathology remains little discussed in the literature.

[25]

In our study, the results show that some patients who develop gangrene of the external genitalia perceive the disease as an event that negatively affects the rest of their lives.

The consequences are physical and psychological. There is a reduced physical capacity in 8.22% of patients; discomfort when sitting in 41.09%; chronic anxiety in 17.80%.

Symptoms of the lower urinary tract predominated during the emptying phase with 34.25% of cases of dysuria.

Regarding the evaluation of erectile function, 26 patients had major erectile dysfunction; 15 patients had minor erectile dysfunction that nevertheless allowed sexual intercourse.

In addition to erectile dysfunction, loss of confidence in the ability to establish and maintain sexual intercourse, the choice of sexual abstinence, particularly with regard to the aesthetic aspect related to persistent scars, persistent chronic pain and decreased libido were mentioned in our patients.

5. Conclusion

Despite recent therapeutic advances and the literature dedicated to the management of gangrene of the external genitalia, this benign condition still has a high mortality rate. In addition, in surviving patients, aggressive initial surgical management seems to have a lasting impact on the functional prognosis of the genitals and urine. Early therapeutic management, well-codified treatment and a multidisciplinary care pathway could improve patients' prognostic factors. Our study suggests that patients surviving after gangrene of the external genitalia show a marked and continuous impairment in their overall urological and sexual quality of life.

At a time when our contemporary societies are largely addressing the issue of quality of life and that of a quality of life, improving the long-term care of surviving patients appears to be a real therapeutic challenge for this rare pathology.

Abbreviations

GOGE	Gangrene of the External Genitalia

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Eke N (2000). Fournier's gangrene: a review of 1,726 cases. Br J Surg 87: 718-28.
[2]	Jeong HJ, ParkSC, SEO IY, Rim JS (2005) Prognostic factors in Fournier's gangrene. Int J Urol 12: 1041-1044.
[3]	Tahmaz L, Erdemir F, Tahmaz L, Kibar Y et al. (2006) Fournier's gangrene: report of thirty-three cases and a review of literature. Int J Urol 13: 960-67.
[4]	Mehl AA, Filho DCN, Mantovani LM, Grippal MM, Berger, Krauss D and Ly. Management of fournier's gangrene: experience of a univertity hospital of Curitiba. Rev armneck CIR 2010; 37: p 435-41.
[5]	Sarkis P, Farran F, Khoury R. Gangène de Fournier: revue de la littérature actuelle, The surgeon 2009. Volume 19.2: p75-84.
[6]	Mougougou A, Essola L, Ndang Ngou Milama S, Ngomas JF, Papa Iebama P, Mbethé D, Bissiriou I, Angué Obiang M, Didja DB, Massandé Mouyendi J. Gangen of the external genitalia: epidemiological, diagnostic and therapeutic aspects. Journal of Central African Surgery (RECAC) volume 3, number 17 December 2019. P32-34.
[7]	Dekou A, Konan PG, Vodi C, Kramo N, Fofana A, Tchetche G, Ouegnin GA, Manzan K. Gangrene of the external genitalia: epidemiology, competitive morbidity and prognosis. ABM 2014 Volume 19, N3: p61-67.
[8]	Diallo MS, Coulibaly MT, Cissé D, Berthé HJG, Diarra A, Tembély A. Epidemiological, clinical and therapeutic aspects of Fournier's gangrene in the urology department of the Point-G University Hospital in Bamako (Mali). Rev Mali infect microbiol 2019, tome 14, p 01-05.
[9]	Czymek R, Hildebrand P, Kleeman M, et al (2009) New insights into the epidemiology and etiology of Fournier's gangrene: a review of 33 patients. Infection 37: 306-12.
[10]	Sehmi S, Osaghae S (2011) Type II diabetes mellitus, new presentation manifesting as Fournier's gangrene. JRSM Short Rep2: 51.
[11]	Jeong H. J., Park Sc., Seo Iy., Rim Js. Fournier's gangrene. Int. J. Urol., 2005, 12: 1.
[12]	Adama Toutou Diallo. FOURNIER'S GANGRENE: CLINICAL AND THERAPEUTIC STUDY IN THE <> SURGERY DEPARTMENT OF THE POINT G UNIVERSITY HOSPITAL. Th Med Bamako 2007 n°78.07M78.
[13]	Nouhoum Dicko. THE MANAGEMENT OF FOURNIER'S GANGRENE IN THE UROLOGY DEPARTMENT OF THE POINT G UNIVERSITY HOSPITAL. ABOUT 36 CASES. Th Med Bamako, 2015. No. 122. 15m122.
[14]	Bah I, Diallo A. B and Coll. Problem of the management of gangrene of the external genitalia in the urology-andrology department of the University Hospital of Conakry URO ANDRO-Volume 1- Num 1 December 2023.
[15]	Fall B. and Coll. Gangrene of the external genitalia: about 102 cases. Andrology 2009, 19, 45-9.
[16]	Jaime Ruiz-Tovar, Luis Cordoba, José Manuel Devesa. Prognostic factors in Fournier gangrene, Asian Journal of Surgery 2012. p: 35-41.
[17]	K. Borki, Ait Ali, And Coll. gangrene perineo-scrotal: about 60 cases e – memoirs of the National Academy of Surgery 2002, 1(4): 49-54 on the net 19-04-2005.
[18]	Kokaina S. Gangrene of the external genitalia: clinical, diagnostic, therapeutic and evolutionary aspects in the urology department of the Gabriel Toure University Hospital. Thesis University of Science, Technology and Technology of Bamako. 2021. Available at: https://www.bibliosante.ml/bitstream/handle/123456789/4652/21M28.pdf ?sequence=1&isAllowed=y
[19]	Boyer A, Vagas F, Fournier's gangrene: emergencies 2011, 53: 601-08.
[20]	Morua A. G et al. Fournier's gangrene: our experience in 5 years, bibliographic. Review and assessment of the fournier's gangrene severity index, Archivos Espanoles de Urologia 2009; 62 (7): 532- 540.
[21]	Hubert J, Fournier G, Mangin P, Punga-Maole M (1995) Gangrene of the external genitalia. Prog Urol 5: 911-24.
[22]	De Jong Z, Anaya Y, Pontonnier F, et l (1995) Evolution and treatment of eight patients with Fournier's perineoscrotal gangrene. Ann Urol 26: 364-7.
[23]	Kuo C, Wang W, Lee C, Liu C, Tseng H. Fournier's gangrene: ten-year experience in a medical center in northern Taiwan J Microbiol Immunol Infect 2007; 40(6): 500-6.
[24]	El Moussaoui A, Boutaleb R, Joual A, El Mrini M, Meziane F, Benjelloun S. perineoscrotal gangrene: analysis of forty-nine cases. Ann Urol 1994; Rev. 28: 142-7.
[25]	Czymek R, Kujath P, Bruch HP, Pfeiffer D, Nebrig M, Seehofer D, et al, Treatment, outcome and quality of life after Fournier's gangrene: a multicentre study. Colorectal Dis 2013; 15(12): 1529-36.

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Kouame, B., Kramo, F. N., Coulibaly, I., Drabo, A., Armand, T. K. W. (2025). Gangrene of the External Genitalia: Vital and Functional Prognosis in the Urology Department of the Cocody University Hospital from 2010 to 2022. International Journal of Clinical Urology, 9(2), 180-186. https://doi.org/10.11648/j.ijcu.20250902.22

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Kouame, B.; Kramo, F. N.; Coulibaly, I.; Drabo, A.; Armand, T. K. W. Gangrene of the External Genitalia: Vital and Functional Prognosis in the Urology Department of the Cocody University Hospital from 2010 to 2022. Int. J. Clin. Urol. 2025, 9(2), 180-186. doi: 10.11648/j.ijcu.20250902.22

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AMA Style

Kouame B, Kramo FN, Coulibaly I, Drabo A, Armand TKW. Gangrene of the External Genitalia: Vital and Functional Prognosis in the Urology Department of the Cocody University Hospital from 2010 to 2022. Int J Clin Urol. 2025;9(2):180-186. doi: 10.11648/j.ijcu.20250902.22

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@article{10.11648/j.ijcu.20250902.22 ,
  author = {Benjamin Kouame and Felicite Nykan Kramo and Issoufou Coulibaly and Ali Drabo and Tano Kouamé William Armand},
  title = {Gangrene of the External Genitalia: Vital and Functional Prognosis in the Urology Department of the Cocody University Hospital from 2010 to 2022
},
  journal = {International Journal of Clinical Urology},
  volume = {9},
  number = {2},
  pages = {180-186},
  doi = {10.11648/j.ijcu.20250902.22 },
  url = {https://doi.org/10.11648/j.ijcu.20250902.22 },
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20250902.22 },
  abstract = {Intoduction: The aim of our study was to identify the factors that determine the vital and functional prognosis of patients with gangrene of the external genitalia. Patients and Methods: Our study is retrospective and descriptive. It concerned all patients treated for Gangrene of the external genitalia (GOGE) in the Urology Department of the Cocody University Hospital over a period of 13 years. Results: Among the 3244 patients consulted for a surgical pathology, 73 (2.25%) had a GOGE. The mean age of patients was 48.81 years with extremes of 19 and 74 years. The majority of patients were male. The main reasons for consultation were scrotal swelling (41.1%) and perineal pain. More than half (53.1%) consulted between 8 and 15 days. Gangrene mainly affected the scrotum, perineum, and in some cases, the penis and pelvis. Diabetes was the most common risk factor (50.68%), followed by alcoholism (23.29%) and acute kidney injury (15.07%). Urological causes were the most common with more than half of the cases (61.64%). All patients underwent surgical debridement. Triple broad-spectrum antibiotic therapy combining a 3rd generation cephalosporin, an Imidazole and an Aminoside was initiated in the majority of cases (93.15%). Nearly half of the patients were treated the day after their admission. The cure rate was 89.04%, with a mortality rate of 6.85%. Major erectile dysfunction and dysuria were found in 35.61% and 34.25% of patients, respectively. Conclusion: Early therapeutic management, well-codified treatment and a multidisciplinary care pathway could improve patients' prognostic factors. Our study suggests that patients surviving after gangrene of the external genitalia show a marked and continuous impairment in their overall urological and sexual quality of life.
},
 year = {2025}
}

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TY - JOUR
T1 - Gangrene of the External Genitalia: Vital and Functional Prognosis in the Urology Department of the Cocody University Hospital from 2010 to 2022

AU - Benjamin Kouame
AU - Felicite Nykan Kramo
AU - Issoufou Coulibaly
AU - Ali Drabo
AU - Tano Kouamé William Armand
Y1 - 2025/10/31
PY - 2025
N1 - https://doi.org/10.11648/j.ijcu.20250902.22
DO - 10.11648/j.ijcu.20250902.22
T2 - International Journal of Clinical Urology
JF - International Journal of Clinical Urology
JO - International Journal of Clinical Urology
SP - 180
EP - 186
PB - Science Publishing Group
SN - 2640-1355
UR - https://doi.org/10.11648/j.ijcu.20250902.22
AB - Intoduction: The aim of our study was to identify the factors that determine the vital and functional prognosis of patients with gangrene of the external genitalia. Patients and Methods: Our study is retrospective and descriptive. It concerned all patients treated for Gangrene of the external genitalia (GOGE) in the Urology Department of the Cocody University Hospital over a period of 13 years. Results: Among the 3244 patients consulted for a surgical pathology, 73 (2.25%) had a GOGE. The mean age of patients was 48.81 years with extremes of 19 and 74 years. The majority of patients were male. The main reasons for consultation were scrotal swelling (41.1%) and perineal pain. More than half (53.1%) consulted between 8 and 15 days. Gangrene mainly affected the scrotum, perineum, and in some cases, the penis and pelvis. Diabetes was the most common risk factor (50.68%), followed by alcoholism (23.29%) and acute kidney injury (15.07%). Urological causes were the most common with more than half of the cases (61.64%). All patients underwent surgical debridement. Triple broad-spectrum antibiotic therapy combining a 3rd generation cephalosporin, an Imidazole and an Aminoside was initiated in the majority of cases (93.15%). Nearly half of the patients were treated the day after their admission. The cure rate was 89.04%, with a mortality rate of 6.85%. Major erectile dysfunction and dysuria were found in 35.61% and 34.25% of patients, respectively. Conclusion: Early therapeutic management, well-codified treatment and a multidisciplinary care pathway could improve patients' prognostic factors. Our study suggests that patients surviving after gangrene of the external genitalia show a marked and continuous impairment in their overall urological and sexual quality of life.

VL - 9
IS - 2
ER -

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Author Information

Benjamin Kouame

Urology Department, The University Hospital Center (CHU), Cocody-Abidjan, Côte d'Ivoire

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http://orcid.org/0009-0005-4449-0309
Felicite Nykan Kramo

Urology Department, The University Hospital Center (CHU), Cocody-Abidjan, Côte d'Ivoire

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http://orcid.org/0009-0006-0425-5723
Issoufou Coulibaly

Urology Department, The University Hospital Center (CHU), Cocody-Abidjan, Côte d'Ivoire

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http://orcid.org/0009-0003-5333-7862
Ali Drabo

Urology Department, The University Hospital Center (CHU), Cocody-Abidjan, Côte d'Ivoire

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http://orcid.org/0009-0007-8723-3868
Tano Kouamé William Armand

Urology Department, The University Hospital Center (CHU), Cocody-Abidjan, Côte d'Ivoire

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http://orcid.org/0009-0005-8432-1585

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Kouame, B., Kramo, F. N., Coulibaly, I., Drabo, A., Armand, T. K. W. (2025). Gangrene of the External Genitalia: Vital and Functional Prognosis in the Urology Department of the Cocody University Hospital from 2010 to 2022. International Journal of Clinical Urology, 9(2), 180-186. https://doi.org/10.11648/j.ijcu.20250902.22

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Kouame, B.; Kramo, F. N.; Coulibaly, I.; Drabo, A.; Armand, T. K. W. Gangrene of the External Genitalia: Vital and Functional Prognosis in the Urology Department of the Cocody University Hospital from 2010 to 2022. Int. J. Clin. Urol. 2025, 9(2), 180-186. doi: 10.11648/j.ijcu.20250902.22

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AMA Style

Kouame B, Kramo FN, Coulibaly I, Drabo A, Armand TKW. Gangrene of the External Genitalia: Vital and Functional Prognosis in the Urology Department of the Cocody University Hospital from 2010 to 2022. Int J Clin Urol. 2025;9(2):180-186. doi: 10.11648/j.ijcu.20250902.22

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@article{10.11648/j.ijcu.20250902.22 ,
  author = {Benjamin Kouame and Felicite Nykan Kramo and Issoufou Coulibaly and Ali Drabo and Tano Kouamé William Armand},
  title = {Gangrene of the External Genitalia: Vital and Functional Prognosis in the Urology Department of the Cocody University Hospital from 2010 to 2022
},
  journal = {International Journal of Clinical Urology},
  volume = {9},
  number = {2},
  pages = {180-186},
  doi = {10.11648/j.ijcu.20250902.22 },
  url = {https://doi.org/10.11648/j.ijcu.20250902.22 },
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20250902.22 },
  abstract = {Intoduction: The aim of our study was to identify the factors that determine the vital and functional prognosis of patients with gangrene of the external genitalia. Patients and Methods: Our study is retrospective and descriptive. It concerned all patients treated for Gangrene of the external genitalia (GOGE) in the Urology Department of the Cocody University Hospital over a period of 13 years. Results: Among the 3244 patients consulted for a surgical pathology, 73 (2.25%) had a GOGE. The mean age of patients was 48.81 years with extremes of 19 and 74 years. The majority of patients were male. The main reasons for consultation were scrotal swelling (41.1%) and perineal pain. More than half (53.1%) consulted between 8 and 15 days. Gangrene mainly affected the scrotum, perineum, and in some cases, the penis and pelvis. Diabetes was the most common risk factor (50.68%), followed by alcoholism (23.29%) and acute kidney injury (15.07%). Urological causes were the most common with more than half of the cases (61.64%). All patients underwent surgical debridement. Triple broad-spectrum antibiotic therapy combining a 3rd generation cephalosporin, an Imidazole and an Aminoside was initiated in the majority of cases (93.15%). Nearly half of the patients were treated the day after their admission. The cure rate was 89.04%, with a mortality rate of 6.85%. Major erectile dysfunction and dysuria were found in 35.61% and 34.25% of patients, respectively. Conclusion: Early therapeutic management, well-codified treatment and a multidisciplinary care pathway could improve patients' prognostic factors. Our study suggests that patients surviving after gangrene of the external genitalia show a marked and continuous impairment in their overall urological and sexual quality of life.
},
 year = {2025}
}

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TY - JOUR
T1 - Gangrene of the External Genitalia: Vital and Functional Prognosis in the Urology Department of the Cocody University Hospital from 2010 to 2022

VL - 9
IS - 2
ER -

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