Genital reconstruction and urethral plasty after FournierÓ?s gangrene and urethral fistula

Fournier's syndrome is necrotizing fasciitis of the soft tissues of the perineum.Diagnosis is clinical, and treatment involves stabilization, antibiotics, and debridement of necrotic tissue, which can lead to esthetic and functional sequelae that may be corrected later.A 62-year-old male presents for genital reconstruction due to post-Fournier gangrene penile scarring with an inter-scrotal urethrocutaneous fistula.A term-to-term urethral plasty, bilateral testicular descent, and penile ascent are performed.The available information on reconstructive surgery for external genitalia following Fournier's gangrene is insufficient to establish a standard approach.