From Catheter to Catastrophe: Iatrogenic Urethral Injury Triggering Fournier’s Gangrene

Author(s)	Dr. Gagandeep Singh, Dr. Shravan Nambiar
Country	India
Abstract	Fournier’s gangrene is a fulminant form of necrotizing fasciitis involving the perineum and external genitalia, associated with rapid disease progression, systemic toxicity, and significant mortality. Although commonly linked to anorectal and genitourinary infections, iatrogenic urethral injury as an etiological factor is rare. We report a case of Fournier’s gangrene precipitated by traumatic urethral catheterization with inadvertent balloon inflation in the perineum, resulting in urine extravasation and severe soft tissue infection. Early diagnosis, aggressive surgical debridement, broad-spectrum antibiotics, and appropriate urinary diversion were pivotal in management. This case highlights the importance of adherence to standard catheterization techniques and early specialist intervention to prevent catastrophic outcomes.
Keywords	Fournier’s gangrene, necrotizing fasciitis, urethral injury, Foley catheter, urosepsis
Field	Medical / Pharmacy
Published In	Volume 7, Issue 6, November-December 2025
Published On	2025-12-31
DOI	https://doi.org/10.36948/ijfmr.2025.v07i06.65227

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