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Microscopic Replantation of Penile Glans Amputation Due to Circumcision
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Incomplete diphallus: correction in one stage.

R Núñez1, E Blesa, F Vázquez

  • 1Service of Pediatric Surgery, "Infanta Cristina" Children's Hospital, Damián Téllez Lafuente s/n., E-06010, Badajoz, Spain.

Pediatric Surgery International
|September 24, 2013
PubMed
Summary
This summary is machine-generated.

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This study details the surgical correction of a rare penile abnormality, diphallus, in a 4-year-old patient. The successful reconstruction resulted in a single penis with a functional urethra and normal glans structure.

Area of Science:

  • Urology
  • Pediatric Surgery
  • Medical Genetics

Background:

  • Diphallus, a rare congenital anomaly, involves penile duplication.
  • Patients often present with associated urogenital and anorectal malformations.
  • Surgical correction aims to restore normal anatomy and function.

Purpose of the Study:

  • To describe the surgical management of a pediatric patient with diphallus and associated anomalies.
  • To detail the reconstructive techniques used for the penis and urethra.
  • To evaluate the functional and aesthetic outcomes of the surgical correction.

Main Methods:

  • Surgical correction of diphallus in a 4-year-old male.
  • Dissection of corpora cavernosa and reconstruction of the urethra.

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  • Urethroplasty utilizing a free graft and glans reconstruction.
  • Preputial reconstruction.

    • Main Results:

    • Successful reconstruction of a single penis with two corpora cavernosa and a single glans.
    • Creation of a complete urethra with an orthotopic meatus at the glans tip.
    • Correction of severe chordee and preservation of normal urinary flow.
    • Satisfactory postoperative course.

    Conclusions:

    • Surgical correction of diphallus is feasible and can achieve satisfactory functional and aesthetic outcomes.
    • A multi-stage reconstructive approach may be necessary for complex penile anomalies.
    • Early surgical intervention can improve long-term quality of life for affected individuals.