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Updated: Jun 2, 2026

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Urethral steinstrasse with urethrocutaneous fistula
Santosh Kumar1, Sumit Sharma, Raguram Ganesamoni
1Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, India. santoshsp1967@jaimatadi@yahoo.co.in
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.
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