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Result of Health Illiteracy and Cultural Stigma: Fournier’s Gangrene, a Urological Emergency
  1. Manasi Jiwrajka1,2,
  2. Krishan Pratap1,2,
  3. William Yaxley1,2,
  4. Nigel Dunglison1,3
  1. 1Department of Urology, Royal Brisbane and Women’s Hospital, Herston, Queensland, Australia
  2. 2School of Medicine, University of Queensland, Brisbane, Queensland, Australia
  3. 3Department of Urology, Wesley Hospital, Brisbane, Queensland, Australia
  1. Correspondence to Dr Manasi Jiwrajka, manasi.jiwrajka{at}


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.

  • urinary and genital tract disorders
  • global health
  • urology
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  • Contributors MJ was instrumental in conceiving the idea and initial outline. She drafted the article primarily and prepared and approved the final draft. KP was also part of the initial implementation of the idea and was mainly responsible for background research, editing the drafts and critically revising the content. WY did the background research for the paper and revising the content of the manuscript. ND supervised the project, was the treating clinician of the patient, provided pictures and revised the final drafts. MJ, KP, WY and ND approved the final version of the manuscript. All authors are accountable for the article and responsible for the accuracy and integrity of the article.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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