Acquired Penoscrotal Transposition—a Rare Complication of Fournier’s Gangrene—Case Report

Penoscrotal transposition is a rare congenital anomaly, in which the scrotal complex is found anterior to the penis. Only a handful of cases have been reported, and it requires complex corrective surgery, often in stages. We report a case of a 58-year-old patient with acquired penoscrotal transposition (PST), secondary to repeated debridements in the treatment of Fournier’s gangrene that occurred due to a ruptured proximal urethral stricture. This case is being presented here as it is a rare and uncommon complication of a relatively common disease in tropical regions and in patients in an immuno-compromised state. This has occurred due to fibrosis and torsion of the exposed testes and penis following multiple debridements done for the patient who was in sepsis due to rapidly spreading Fournier’s gangrene. The Fournier’s gangrene occurred in this patient who underwent dilatation for a urethral stricture, leading to urinary extravasation and subsequent infection. After a detailed pub-med search, we could find no other similar reports of this condition, and this is probably the first case report in English medical literature to highlight this occurrence.