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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
PubMed
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.