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Congenital Pseudodiphallia -A Rare Case Presentation.

Amit Kumar Mishra1, Vijay Anand1, Ravi Kale1

  • 1Department of General Surgery, School of Medical Sciences and Research, Sharda Hospital, Greater Noida, Uttar Pradesh, India.

Journal of Indian Association of Pediatric Surgeons
|January 4, 2024
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Summary

This case study details the successful surgical excision of pseudodiphallia, a rare congenital penile anomaly, in a young boy. The procedure resolved the condition, ensuring a positive outcome for the patient.

Keywords:
Diphalliapenisphalluspseudo

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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.