WHO’S AT RISK? FISTULA DEVELOPMENT AFTER FOURNIER’S GANGRENE giselaoropeza@outlook.com

PW01-12

WHO’S AT RISK? FISTULA DEVELOPMENT AFTER FOURNIER’S GANGRENE

7

Mexico

Oral or Poster

Fournier's gangrene is an aggressive necrotizing infection affecting the perineal and genital region, representing a surgical emergency. It is characterized by a rapid progression of the infection, which involves a polymicrobial etiology, with participation of both aerobic and anaerobic bacteria.

A retrospective, observational and descriptive study was carried out, including 50 patients with a diagnosis of Fournier’s gangrene, demographic data were obtained with IBM SPSS Statistics version 30.0.

The sample consisted of 50 patients, of whom 86.59 % were male and 13.41 % female. The mean age was 50.20 years, with a standard deviation of 11.14, indicating a moderately dispersed age distribution. Regarding comorbidities, 34.15 % of the patients had diabetes, while 17.07 % had a diagnosis of hypertension. It was found that 26.00% of the patients had fistulas with an average onset time of 11. 61 months. The frequency distribution showed that in patients without fistula, the greater number of patients did not have procedures prior to hospital admission (p= 0.415). Among the patients with fistula, 76.92 % were diabetic, and 46.15 % had positive smoking. Patients who developed anorectal fistulas after Fournier’s gangrene were significantly older and had lower serum albumin levels, suggesting age and nutritional status may play a role in fistula formation. Although glucose levels were slightly higher in the fistula group, which may warrant further investigation in larger cohorts.

Patients who developed anorectal fistulas after Fournier’s gangrene were significantly older and had lower serum albumin levels.