Introduction: Fournier's gangrene is a severe polymicrobial infection of the soft tissues of the perineum and external genitalia that affects the superficial and deep fascia. The progression is rapid and unpredictable. 
The objective was to describe the management of Fournier's gangrene in the Ignace Deen general surgery department.

Clinical Case: It’s about four (04) patients were admitted and operated on in the General Surgery Department of the Ignace Deen National Hospital.

All our patients were male and their average age was 49 years. Obesity, a urinary tract infection, and an immune deficiency were noted.

All patients presented with pain, malodorous necrosis, and putrefaction. The average length of stay was three days. Two patients had used poultices. Discoloration of the skin of the external genitalia and underlying tissues was noted. Their general condition deteriorated with prostration, physical asthenia, anorexia, profuse sweating, and fever.

All patients underwent surgery, two under spinal anesthesia and two under general anesthesia.

The surgical procedure consisted of debridement. Postoperatively, all received medical treatment and a sitz bath. The average length of stay was 21 days. One death from septic shock was recorded.

Conclusion: Fournier gangrene is a severe destruction of perineal soft tissue resulting from a multimicrobial infection that rapidly progresses to necrosis and septic shock.