AB165. Urethral injury of penile surgery result in urethrocutaneous fistula (report of 9 cases)

OBJECTIVE: To explore the reason of penile surgery that result in urethral injury. METHODS: To review the penile surgery (circumcision, penile curvature correction) that result in urethrocutaneous fistula from March 2009 to May 2014. Six cases resulted from circumcision, and three cases resulted from penile curvature correction. RESULTS: All patients were lack of corpus spongiosum penis, and the urethra was only covered with ventral skin of penis and tunica mucosa. Urethra was easy to be hurt when separate the ventral skin of penis and tunica mucosa. CONCLUSIONS: The urethra of urethral injury of penile surgery usually has congenital pathological changes that corpus spongiosum penis does not close well or doesn’t close in the development. So before taking the Penile surgery, the corpus spongiosum should be touched to check the development of anterior corpus spongiosum to avoid injuring tunica mucosa when pulling and separating the ventral skin of penis.