Background: Fournier's gangrene is aec necrotizing fasciitis of the genitalia and perineum that can lead to polymicrobial infection and organ failure or death. The goal of this study was to identify the pre presence systemic and local predisposing factors, management challenges, and outcome in Telangana. Fournier gangrene is a urologic emergency that has a high mortality rate. It is a polymicrobial necrotizing fasciitis of the perineal, perianal, and genital regions with a mortality rate ranging from 15% to 50%