Episode # 272 • 11 Nov 2025
Fournier's Gangrene Management: Timing, Transfers & Best Practices
What does it take to save both life and function in a rapidly progressing infection? In this episode of BackTable Urology, Dr. Judith Hagedorn (University of Washington) joins Dr. George Koch (Ohio State University) to unpack the complexities of Fournier’s gangrene management.
Timestamps
0:00 - Introduction
3:04 - Evolution of Fournier’s Management
7:50 - Management at High-Volume vs. Community Centers
20:39 - Use of Wound Vacs
27:03 - Testicular Management
43:56 - Future Directions
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More about this episode
They discuss advances in surgical techniques like skin-sparing debridement and the value of high-volume centers for patient outcomes. They also explore the use of wound vacuums, the challenges related to testicular management, and the future of Fournier’s gangrene treatment, including early detection and better patient scoring systems.
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