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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
PubMed
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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.

Related Experiment Videos

  • 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.