Complete Penile Duplication with Structurally Normal Penises: A Case Report

Yıl 2018, Cilt: 35 Sayı: 4, 340 - 342, 01.07.2018

Ahsen Karagözlü Akgül Murat Uçar Fatih Çelik İrfan Kırıştıoğlu Nizamettin Kılıç

Öz

Background: Diphallia is a very rare anomaly and seen once in every
5.5 million live births. True diphallia with normal penile structures is
extremely rare. Surgical management for patients with complete penile
duplication without any penile or urethral pathology is challenging.
Case Report: A 4-year-old boy presented with diphallia. Initial
physical examination revealed first physical examination revealed
complete penile duplication, urine flow from both penises, meconium
flow from right urethra, and anal atresia. Further evaluations showed
double colon and rectum, double bladder, and large recto-vesical
fistula. Two cavernous bodies and one spongious body were detected
in each penile body. Surgical treatment plan consisted of right total
penectomy and end-to-side urethra-urethrostomy. No postoperative
complications and no voiding dysfunction were detected during the
18 months follow-up.
Conclusion: Penile duplication is a rare anomaly, which presents
differently in each patient. Because of this, the treatment should
be individualized and end-to-side urethra-urethrostomy may be an
alternative to removing posterior urethra. This approach eliminates
the risk of damaging prostate gland and sphincter

Anahtar Kelimeler

Congenital anomaly, diphallia, penile duplication, reconstructive surgery

Kaynakça

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