title: Urethral steinstrasse with urethrocutaneous fistula.
abstract: A middle-age man presented with acute urinary retention and a history of passage of urine and stones through a fistula at the root of the penis of 7 years' duration. Computed tomography of the soft tissue penis revealed multiple calculi in the urethra. After an initial suprapubic cystostomy, he underwent Johanson's Stage I urethroplasty with excision of the fistulous tract and retrieval of the urethral stones. Intraoperatively, dense stricture of the distal penile urethra was found, with complete obliteration in places. A urethral stricture, if not promptly managed, can lead to devastating complications necessitating complex surgical management.
authors.affiliation: Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, India. santoshsp1967@jaimatadi@yahoo.co.in
authors.forename: Santosh
authors.initials: S
authors.lastname: Kumar
authors.forename: Sumit
authors.initials: S
authors.lastname: Sharma
authors.forename: Raguram
authors.initials: R
authors.lastname: Ganesamoni
authors.forename: Shrawan K
authors.initials: SK
authors.lastname: Singh
mesh_terms: D000328:Adult; D017577:Cutaneous Fistula / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D010409:Penile Diseases / Q000209:etiology* / Q000601:surgery; D014522:Urethral Diseases / Q000209:etiology* / Q000601:surgery; D014524:Urethral Obstruction / Q000209:etiology* / Q000601:surgery; D014545:Urinary Calculi / Q000150:complications* / Q000601:surgery; D014548:Urinary Fistula / Q000209:etiology* / Q000601:surgery; D016055:Urinary Retention / Q000209:etiology*