Fournier’s gangrene following retrograde urethrography: a rare complication


  • Shrishti Kanodia Department of General Surgery, KS Hegde Medical Academy, Mangalore, Karnataka
  • Suraj Hegde Prakash Department of Urology, KS Hegde Medical Academy, Mangalore, Karnataka
  • Kabekkodu Venkata Tejaswi Department of Radiology, KS Hegde Medical Academy, Mangalore, Karnataka
  • Rajeev Thekke Puthalath Department of Urology, KS Hegde Medical Academy, Mangalore, Karnataka
  • Narendra Pai Department of Urology, KS Hegde Medical Academy, Mangalore, Karnataka



Retrograde urethrography, Continence, Fournier’s gangrene, Lower urinary tract symptoms, Contrast


Retrograde urethrography (RGU) is a useful investigation to look for urethral injuries. It can result in various complications like anaphylaxis due to contrast material, urinary tract infection and intravasation or extravasation of contrast. In this case report, a rare complication of RGU was seen in the form of Fournier’s gangrene. This complication was probably due to extravasation of contrast material during the procedure which lead to reactionary changes of the penile skin and scrotum. Patient was managed aggressively and had a good recovery and is on regular follow up.


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