Result of Health Illiteracy and Cultural Stigma: Fournier's Gangrene, a Urological Emergency

Manasi Jiwrajka; Krishan Pratap; William Yaxley; Nigel Dunglison

doi:10.1136/bcr-2017-220836

Result of Health Illiteracy and Cultural Stigma: Fournier's Gangrene, a Urological Emergency

BMJ Case Rep. 2017 Oct 19:2017:bcr2017220836. doi: 10.1136/bcr-2017-220836.

Authors

Manasi Jiwrajka^{1

2}, Krishan Pratap^{1

2}, William Yaxley^{1

2}, Nigel Dunglison^{1

3}

Affiliations

¹ Department of Urology, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia.
² School of Medicine, University of Queensland, Brisbane, Queensland, Australia.
³ Department of Urology, Wesley Hospital, Brisbane, Queensland, Australia.

Abstract

A 63-year-old Caucasian man presents to his regional hospital 8 days postinsertion of beads in his urethra, causing Fournier's gangrene of the penis and delayed surgical management of his gangrene. The reasons for his delay are cultural stigma associated with sexual practices and health illiteracy.

Keywords: global health; urinary and genital tract disorders; urology.

Publication types

Case Reports

MeSH terms

Anti-Bacterial Agents / therapeutic use
Debridement
Escherichia coli / isolation & purification
Foreign Bodies / complications
Fournier Gangrene / diagnosis*
Fournier Gangrene / drug therapy
Fournier Gangrene / etiology
Fournier Gangrene / psychology
Health Literacy*
Humans
Male
Middle Aged
Penile Diseases / diagnosis*
Penile Diseases / etiology
Penis / surgery
Sexual Behavior / psychology
Social Stigma
Urethra / injuries*

Substances

Anti-Bacterial Agents