Synchronous caverno-spongious thrombosis and Fournier's gangrene.

Fournier's or genito-perineal gangrene of the male genitalia typically spares the testis, urethra and deep penile components. It usually is polymicrobial and synergistic. To our knowledge, this is the first reported case in the literature with severe, deep, full penile thrombosis that caused a severe urethral stenosis and required later surgery. Only Proteus mb. could be isolated and gave rise to a disseminated intravascular coagulation syndrome that has probably accentuated the thrombotic penile phenomenon. The process was secondary to urethral lithiasis.