What are the indications for a stoma in Fournier's gangrene?

Aim This study examined the indications for a stoma in patients with Fournier’s gangrene and its impact on outcome. Method Patients with Fournier’s gangrene were retrospectively reviewed for indications for a stoma. Patients with and without a stoma were compared, based on demographics, disease severity, surgical therapy, length of hospital stay, clinical outcome and cost. Results Forty‐four patients (median age 57 years, range 28–77 years) were evaluated. Eighteen had a temporary stoma and 26 did not. A stoma was 5 times more likely in males. Patients with Fournier’s gangrene originating from an anorectal disorder received a stoma more often than patients with disease originating from an urogenital disorder. Clinical outcomes were similar for patients with or without a stoma. Stoma closure was associated with an extra cost of about $6650 per patient. Conclusion Stoma creation in the management of Fournier’s gangrene was needed for selected patients. Having a stoma did not appear to affect outcomes and resulted in a significant increase in cost of care.