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Glanular diphallus with urethral stricture
J S Gavali1, A V Deshpande, H H Sanghani
1Department of Paediatric Surgery, Seth G.S. Medical College and K.E.M. Hospital, Parel, Mumbai, Maharashtra 400 012, India.
Pediatric Surgery International
|January 17, 2002
Summary
A rare case of diphallia in a 5-year-old boy featured duplicated glans, with one having a blind pit and the other a hypospadiac urethra. This condition was associated with renal agenesis and urethral stricture.
Area of Science:
- Urology
- Pediatric Surgery
- Medical Genetics
Background:
- Diphallia is a rare congenital anomaly characterized by the partial or complete duplication of the penis.
- Glans duplication is an extremely rare variant of diphallia, often associated with other genitourinary and non-genitourinary anomalies.
Observation:
- A 5-year-old boy presented with a unique form of diphallia involving duplicated glans, arranged vertically.
- The dorsal glans contained a blind pit, while the ventral glans featured a patent urethra with glanular hypospadias.
- Associated anomalies included right renal agenesis and a posterior urethral stricture.
Findings:
- The case highlights an unusual anatomical variation of penile duplication, specifically glans duplication.
- The presence of a patent urethra in the ventral glans with hypospadias and the dorsal blind pit represents a distinct morphological presentation.
- Co-occurrence of renal agenesis and urethral stricture underscores the complex spectrum of congenital abnormalities associated with diphallia.
Implications:
- This case expands the understanding of the phenotypic variability within diphallia and associated congenital anomalies.
- It emphasizes the importance of thorough genitourinary and systemic evaluation in patients with rare penile malformations.
- Further research into the embryological basis of glans duplication may offer insights into developmental pathways and potential management strategies.