Penile gangrene due to improper application of a condom catheter: a case report

Abstract

Background: Fournier’s gangrene is a rare, fulminant, and usually localized necrotizing soft tissue polymicrobial infection of the perineum, with occasional extension up to the abdominal wall. Case presentation: We describe an unusual case of penile gangrene in a 64-year-old Tunisian man suffering from urinary incontinence secondary to cerebrovascular accident. Gangrene developed due to continuous tourniquet effect on the penis caused by a condom catheter. Although source control was achieved with aggressive debridement, careful wound care, and wide-spectrum antibiotherapy, the patient died due to septic shock. Conclusion: Use of condom catheters is not without complications. Careful placement, strict hygiene, and regular monitoring of the local condition are necessary.