Fournier’s gangrene is a serious, progressive necrotizing infection of the skin, subcutaneous fat, and superficial fascia of the external genitalia and/or perineum. This case report will discuss a very rare cause of Fournier's gangrene, which is a neglected urethral stone in a 63 year old patient presented to the emergency department with a large painful bursa with anuria that had been progressing for a week. An abdomino-pelvic CT scan showing a stone in the anterior urethra close to the urethral meatus, 1.5 cm in size, responsible for dilatation of the entire urinary tract which is associated with a bilateral scrotal abscess extending to the dorsal surface of the penis. The bases of treatment are: extraction of the calculi ether mini invasively or by urethrotomy, urinary diversion ether by urethral or supra pubic catheter, and debridement necrotomy to control the infection.
Jadouane et al. (2025) studied this question.