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Original Research

Open Access

Evaluation of the effectiveness of vacuum-assisted closure in the treatment of Fournier gangrene

  • Mehmet Demir1
  • İsmail Yağmur1
  • Bülent Katı1
  • Eyyup Sabri Pelit1
  • Adem Tunçekin1
  • Halil Çiftçi1

1Department of Urology, Harran University, 63500 Sanliurfa, Turkey

DOI: 10.31083/jomh.2021.089 Vol.17,Issue 4,September 2021 pp.304-309

Submitted: 21 March 2021 Accepted: 26 May 2021

Published: 30 September 2021

*Corresponding Author(s): Mehmet Demir E-mail:

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Background and objective: To evaluate the effectiveness of vacuum-assisted closure (VAC) in the treatment of Fournier gangrene (FG).

Material and methods: Forty-eight male patients treated for Fournier gangrene were included in the study. The patients were divided into two groups (Group I: conventional dressing, Group II: VAC therapy). Characteristics of the patients, laboratory parameters, number of debridement procedures, daily number of dressings, visual analogue scale (VAS) during dressing, analgesic requirement, colostomy requirement, time from the first debridement to wound closure, wound closure method, length of hospital stay, and mortality rates were compared.

Results: Group I comprised 33 patients and Group II comprised 15 patients. The number of dressings, VAS score and daily analgesic requirement were statistically significantly lower in Group II (p < 0.05) than in Group I. The number of debridement procedures, colostomy requirement, orchiectomy rate, time from first debridement to wound closure, length of hospital stay, wound closure method and mortality rate were similar between these two groups (p > 0.05).

Conclusion: The clinical results of conventional dressing and VAC therapy were similar for treating FG. VAC therapy is an effective postoperative wound care method that offers less requirement for dressing changes, less pain, less analgesic requirement and more patient satisfaction compared to conventional dressing.


Fournier gangrene; Debridement; Vacuum-assisted closure; Wound therapy; Mortality

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Mehmet Demir,İsmail Yağmur,Bülent Katı,Eyyup Sabri Pelit,Adem Tunçekin,Halil Çiftçi. Evaluation of the effectiveness of vacuum-assisted closure in the treatment of Fournier gangrene. Journal of Men's Health. 2021. 17(4);304-309.


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