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Penile duplication (diphallia) with epispadias, neurogenic bladder, and lumbar vertebral Fusion: An exceptionally
Narjes Saberi1, Farid Rajaei Rizi2, Mohammad Nozari3
1Department of Urology, Isfahan Kidney Disease Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Abstract:
We report a highly unusual case of penile duplication (diphallia) accompanied by epispadias, neurogenic bladder with markedly reduced compliance, and lumbar vertebral fusion. Comprehensive clinical, imaging, and urodynamic examinations delineated complex genitourinary and spinal anomalies necessitating multidisciplinary management. The discussion reviews embryological implications, compares existing literature, and addresses long-term follow-up considerations. This case underscores the clinical and academic importance of individualized evaluation and tailored intervention for exceedingly rare multisystem congenital malformations.
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