What are the causes of scrotal constriction, also known as Fournier's gangrene or (Fournier's gangrene)?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Article Review Status
Submitted
Under Review
Approved

Last updated: April 25, 2025 • View editorial policy

From the Research

Scrotal constriction is a medical emergency that requires immediate attention to prevent permanent damage to the testicles and surrounding tissues, and thus, it is crucial to seek emergency medical attention immediately if encountered. The primary goal is to remove the constricting object, such as a ring, rubber band, or hair, as soon as possible to restore blood flow. Medical professionals may employ various methods, including the use of lubricants, the string technique, or specialized cutting tools, depending on the material causing the constriction 1. In severe cases, surgical intervention may be necessary to prevent complications such as ischemia, necrosis, infection, and potential long-term fertility issues. It is essential not to attempt prolonged removal at home, as delays can lead to tissue death, infection, urinary problems, and even loss of testicular function. The longer the constriction remains, the greater the risk of permanent damage, which is why immediate medical attention is crucial, even if the pain seems manageable 2.

Some key points to consider in the management of scrotal constriction include:

  • The importance of prompt medical attention to prevent long-term damage
  • The use of appropriate techniques and tools for removing the constricting object
  • The potential need for surgical intervention in severe cases
  • The risks of complications, such as ischemia, necrosis, and infection, if left untreated
  • The potential impact on fertility and overall quality of life if not addressed promptly.

Given the potential severity of scrotal constriction, it is essential to prioritize immediate medical attention, and the most recent and highest quality study, 1, supports this approach, emphasizing the need for prompt evaluation and management to prevent long-term damage and complications.

References

Research

Scrotal emergencies.

Emergency medicine clinics of North America, 2011

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.