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Related Experiment Videos

Complete diphallia: How to proceed?

Antonio Macedo1, Sérgio Leite Ottoni2, Paula Cartaxo Barros Camilato2

  • 1Department of Pediatrics, Federal University of São Paulo, São Paulo, Brazil; Department of Urology, CACAU-NUPEP, São Paulo, Brazil.

Journal of Pediatric Urology
|March 29, 2022
PubMed
Summary

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This study details a rare case of complete penile duplication (diphallia) in a 2-year-old boy. Surgical removal of the non-patent penile was performed, emphasizing individualized treatment for congenital anomalies.

Area of Science:

  • Urology
  • Pediatric Surgery
  • Medical Genetics

Background:

  • Diphallia, a rare congenital anomaly, presents with varying degrees of penile duplication.
  • Understanding the spectrum of diphallia is crucial for appropriate management.

Observation:

  • A 2-year-old boy presented with complete penile duplication.
  • Imaging revealed distinct corporal bodies for each penis, with urethral stricture in the left and a normal urethra in the right.
  • A single prostate and bladder were confirmed via Voiding Cystourethrogram (VCUG).

Findings:

  • Cystoscopy confirmed urethral patency in the right penis and a blind-ending urethra in the left.
  • Surgical intervention involved the removal of the non-functional left penis.
  • Histological examination revealed one corpus cavernosum per penis, differing from typical complete diphallia.
Keywords:
DiphalliaPenile malformationReconstructive surgery

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Implications:

  • Individualized treatment planning is essential for diphallia, considering associated anomalies.
  • The goal of surgical management is to achieve optimal functional and cosmetic outcomes.
  • This case highlights the importance of detailed anatomical and functional assessment in managing complex congenital penile anomalies.