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Related Experiment Videos

Intravesical phallus in cloacal exstrophy.

Matthew B K Shaw1, Karen West, Jordan Gitlin

  • 1Pediatric Urology, James Whitcomb Riley Hospital for Children, Indiana, Indianapolis, USA

Urology
|March 18, 2003
PubMed
Summary

This study describes a rare case of a fused phallus within the urinary bladder of a child with cloacal exstrophy. Surgical reconstruction successfully separated the phallus and created a neourethra, restoring a more typical anatomy.

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Reply by Authors.

The Journal of urology·2026

Area of Science:

  • Pediatric Surgery
  • Urology
  • Congenital Anomalies

Background:

  • Cloacal exstrophy is a rare and complex congenital anomaly affecting the genitourinary and gastrointestinal systems.
  • Genital anomalies, including phallic abnormalities, are frequently associated with cloacal exstrophy.
  • Intravesical phallus is an extremely rare presentation requiring specialized surgical management.

Observation:

  • A case of a fused phallus completely covered by bladder urothelium within the urinary bladder was identified in a child with cloacal exstrophy.
  • Surgical exploration confirmed the fusion of the left and right corpus cavernosum.
  • The phallus was noted to be entirely encased by the bladder's urothelial lining.

Findings:

  • The fused phallus was surgically separated from the urinary bladder.

Related Experiment Videos

  • A neourethra was successfully created using tubularized bladder urothelium.
  • The penile shaft was reconstructed using perineal skin flaps, with the urothelium at the tip preserved to simulate a glans penis.

    • Implications:

    • This case highlights the importance of thorough surgical exploration in complex congenital anomalies.
    • The described surgical technique offers a potential approach for reconstructing intravesical phallic structures.
    • Successful reconstruction can improve functional outcomes and cosmetic appearance in patients with severe genital malformations.