Table 1.

Etiology of Fournier's gangrene.

Anorectal

Trauma

Ischiorectal, perirectal, or perianal abscesses, appendicitis,

diverticulitis, colonic perforations

Perianal fistulotomy, perianal biopsy, rectal biopsy,

hemorrhoidectomy, anal fissures excision

Steroid enemas for radiation proctitis

Rectal cancer

Genitourinary

Trauma

Urethral strictures with urinary extravasation

Urethral catheterization or instrumentation,

penile implantsinsertion, prostatic biopsy, vasectomy,

hydrocele aspiration,genital piercing, intracavernosal cocaine

injection Periurethral infection; chronic urinary tract infections

Epididymitis or orchitis

Penile artificial implant, foreign body

Hemipelvectomy

Cancer invasion to external genitalia

Septic abortion

Bartholin's duct abscess

Episiotomy

Dermatologic sources

Scrotal furuncle

Genital toilet (scrotum)

Blunt perineal trauma; intramuscular injections, genital piercings

Perineal or pelvic surgery/inguinal herniography.

Idiopathic