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Hair coil penile injury has been reported with circum-cised and uncircumcised penises. Association of this clini-cal entity in patients with underlying urological problems is being reported for the first time. There is overlap of symptoms between the urological problems and hair coil penile strangulation and hence it is very important to be aware of this entity to avoid potential penile loss. Penile hair coil injury has been described in circum-cised and uncircumcised penises. [1],[2],[3] We encountered three children, two with posterior urethral valves and the one with exstrophy-epispadias complex who had associated penile hair coil strangulation during the course of their treatment. The association of hair coil injury with under-lying urological problems is hitherto unreported and is an important problem to be aware of to avoid potentially serious problem as there is significant overlap of symp-toms.