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Case Reports
. 2018 Jul 24;35(4):340-343.
doi: 10.4274/balkanmedj.2017.1518. Epub 2018 Mar 28.

Complete Penile Duplication with Structurally Normal Penises: A Case Report

Ahsen Karagözlü Akgül  1 , Murat Uçar  2 , Fatih Çelik  3 , İrfan Kırıştıoğlu  3 , Nizamettin Kılıç  4
Affiliations
Case Reports

Complete Penile Duplication with Structurally Normal Penises: A Case Report

Ahsen Karagözlü Akgül et al. Balkan Med J. .

Abstract

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.

Keywords: Congenital anomaly, diphallia, penile duplication, reconstructive surgery.

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Conflict of interest statement

Conflict of Interest: No conflict of interest was declared by the authors.

Figures

Figure of abstract
Figure of abstract. True diphallia with structurally developed penises.
Figure 1
Figure 1. Preoperative appearance of true diphallia with urethral catheterization.
Figure 2
Figure 2. Cystography showing right bladder filled with contrast via right urethra and a large rectovesical fistula.
Figure 3
Figure 3. Cystography showing left bladder filled with contrast via left urethra.
Figure 4
Figure 4. Right-to-left end-to-side urethral-urethrostomy (perineal vision).
Figure 5
Figure 5. Visual appearance at postoperative 6 months.
See this image and copyright information in PMC

References

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