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Introduction <p>Fournier’s gangrene (FG) is a progressive necrotizing soft tissue infection of the perineum, perianal region, and external genitalia caused by one or more pathogenic microorganisms.</p> Case presentation <p>This article presents a case of an 83-year-old male patient with penile FG caused by a colovesical fistula. The patient was admitted with penile swelling and necrosis and had a prior history of a colovesical fistula that had not been adequately treated. Upon diagnosis, comprehensive treatment was administered, including antimicrobial therapy, and anti-shock therapies. Surgical interventions included debridement, colovesical fistula repair, and partial penectomy. The article provides a detailed account of the treatment process, postoperative management, and follow-up, aiming to serve as a reference for similar clinical cases.</p> Conclusion <p>FG resulting from a colovesical fistula is extremely rare. Effective management of this condition requires prompt and aggressive antimicrobial therapy, early debridement, and timely repair of the colovesical fistula.</p>

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Penile gangrene induced by colovesical fistula: a case report

  • 期刊论文

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  • 发表日期：

    2025年9月29日

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  • Dongming Lu,
  • Ye Shuchao,
  • Liao Shangfan,
  • Wu Yongyang,
  • Xie Xueping

摘要

Introduction

Fournier’s gangrene (FG) is a progressive necrotizing soft tissue infection of the perineum, perianal region, and external genitalia caused by one or more pathogenic microorganisms.

Case presentation

This article presents a case of an 83-year-old male patient with penile FG caused by a colovesical fistula. The patient was admitted with penile swelling and necrosis and had a prior history of a colovesical fistula that had not been adequately treated. Upon diagnosis, comprehensive treatment was administered, including antimicrobial therapy, and anti-shock therapies. Surgical interventions included debridement, colovesical fistula repair, and partial penectomy. The article provides a detailed account of the treatment process, postoperative management, and follow-up, aiming to serve as a reference for similar clinical cases.

Conclusion

FG resulting from a colovesical fistula is extremely rare. Effective management of this condition requires prompt and aggressive antimicrobial therapy, early debridement, and timely repair of the colovesical fistula.