[A case of diphallus associated with imperforate anus]

Area of Science:

• Urology
• Medical Genetics
• Developmental Biology

Background:

• Biphallus is a rare congenital anomaly with varying degrees of penile duplication.
• Understanding the spectrum of penile duplication anomalies is crucial for diagnosis and management.

Observation:

• An uncommon case of biphallus, strictly limited to the glans, is presented.
• The condition involved a double urethra, with the left urethra being atrophic and exhibiting saccular dilatation.
• Associated with this anomaly was an imperforate anus.

Findings:

• The biphallus was confined to the glans, indicating a specific pattern of duplication.
• The complex urethral malformation included a duplicated urethra with atresia and dilatation.
• The co-occurrence of imperforate anus highlights a potential association with broader anorectal malformations.

Implications:

• This case expands the known spectrum of biphallus and associated urogenital anomalies.
• It underscores the importance of thorough clinical evaluation for complex congenital abnormalities.
• Further research may elucidate the embryological basis for such localized biphallus with urethral and anorectal defects.