Congenital Pseudodiphallia -A Rare Case Presentation

Area of Science:

• Pediatric Surgery
• Congenital Malformations
• Urology

Background:

• Diphallia, or penile duplication, is an exceptionally rare congenital anomaly occurring in approximately 1 in 5-6 million births.
• The spectrum of diphallia ranges from minor accessory tissue to complete duplication, often associated with other system anomalies.
• Pseudodiphallia represents a specific subtype characterized by accessory penile-like tissue lacking typical anatomical structures.

Observation:

• A 5.5-year-old male presented with foreskin retraction difficulty and a small growth near the glans.
• Clinical examination revealed a 1 cm diameter conical lump at the left base of the glans, with visible incomplete clefting between apparent glans structures.
• The patient had no other reported complaints.

Findings:

• Surgical excision of the pseudodiphallia was performed under general anesthesia.
• The operation included urethral catheterization and circumcision.
• Postoperative recovery was uneventful, with the patient responding well to symptomatic treatment.

Implications:

• This case highlights the successful management of pseudodiphallia through surgical intervention.
• Early diagnosis and surgical correction are crucial for favorable outcomes in congenital penile anomalies.
• Further research into the long-term functional and cosmetic outcomes of pseudodiphallia treatment is warranted.