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Keywords:

  • Fournier’s gangrene;
  • stoma;
  • clinical outcomes;
  • costs;
  • surgery

Abstract

Aim  This study examined the indications for a stoma in patients with Fournier’s gangrene and its impact on outcome.

Method  Patients with Fournier’s gangrene were retrospectively reviewed for indications for a stoma. Patients with and without a stoma were compared, based on demographics, disease severity, surgical therapy, length of hospital stay, clinical outcome and cost.

Results  Forty-four patients (median age 57 years, range 28–77 years) were evaluated. Eighteen had a temporary stoma and 26 did not. A stoma was 5 times more likely in males. Patients with Fournier’s gangrene originating from an anorectal disorder received a stoma more often than patients with disease originating from an urogenital disorder. Clinical outcomes were similar for patients with or without a stoma. Stoma closure was associated with an extra cost of about $6650 per patient.

Conclusion  Stoma creation in the management of Fournier’s gangrene was needed for selected patients. Having a stoma did not appear to affect outcomes and resulted in a significant increase in cost of care.