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Diphallus with anorectal malformation-case report.

Ramachandra Mukunda¹, Pradnya S Bendre, Rajeev G Redkar

¹Department of Paediatric Surgery, B.J. Wadia Hospital for Children, Parel, Mumbai, India. mukund.77@rediffmail.com

Journal of Pediatric Surgery

|March 13, 2010

Summary

Diphallus, a rare congenital anomaly, involves duplicated external genitalia and an absent anal opening in newborns. Surgical reconstruction successfully restored both cosmetic appearance and function.

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Area of Science:

Urology
Pediatric Surgery
Medical Genetics

Background:

Diphallus, characterized by penile duplication, is an extremely rare congenital malformation.
This condition often presents with associated anomalies, including anorectal malformations.

Observation:

A newborn presented with diphallus, including two penises, separate hemiscrotums with descended testes, and an absent anal opening.
A soft tissue mass resembling an accessory buttock was noted posterior to the hemiscrotums.

Findings:

The patient underwent staged surgical reconstruction for the duplicated genitalia and anorectal malformation.
The surgical intervention resulted in excellent cosmetic and functional outcomes for the external genitalia.

Implications:

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This case highlights the importance of comprehensive evaluation and staged surgical management for complex congenital anomalies like diphallus.
Successful reconstruction can significantly improve the quality of life and functional outcomes for affected individuals.