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Penile agenesis (aphallia): A rare case report with associated congenital anomalies
1Faculty of Medicine, University of Sirte, Department of Urology, Ibn Sina Teaching Hospital, Sirte, Libya.
Abstract:
Penile agenesis (aphallia) is an exceptionally rare congenital anomaly with an estimated incidence of one in 10 to 30 million live births. We report a full-term male neonate with complete penile agenesis, a normally developed scrotum with bilaterally palpable testes, and passage of urine through the anus. Investigations revealed a rectovesical fistula, horseshoe kidneys with mild pelvicalyceal dilatation, and aganglionic megacolon, a previously unreported triple association. Suprapubic cystostomy was performed at day seven. Male sex assignment was chosen based on 46,XY karyotype and Islamic ethical guidance, with staged phalloplasty planned.
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