Urethro-caverno-cutaneous fistula with distal urethral stricture and aberrant voiding into corpora cavernosa

Following emergency cavernospongiosum shunt performed for priapism occurring in a psychiatric patient on chlorpromazine therapy, a urethro-caverno-cutaneous fistula with distal urethral stricture developed, resulting in aberrant voiding into the corpora cavernosa. The causation, management, and prevention of this hitherto unreported combination are discussed.