True Diphallia: A Report of Two Cases
Asian Journal of Research and Reports in Urology,
Aims: Diphallia or penile duplication is an extremely rare congenital anomaly. It occurs once in every 5.5 million live births. Wecker (1609) reported the first case in Bologna, Italy. It varies from a small accessory penis or duplication of the glans to complete penile duplication.
Presentation of Case: A 31 years old man presented to with urinary incontinence since birth. Examination revealed skin covered exstrophy with two phalli lying side by side in sagittal plane.
Case 2: A 3 month old infant was brought to us with complete duplication of penis and urethra, two phalli lying side by side and voiding from both. Both the testes were normally descended and anal opening was normal.
Discussion and Conclusion: Penile duplication is rare and no two cases are identical. It can be true complete diphallia, partial diphallia, complete bifid phallus or partial bifid phallus. The meatus may be normal, hypospadiac, or epispadiac and the scrotum may be normal or bifid. The testes may be normal, atrophic, or undescended.
Treatment aims at preserving continence, erectile function and aesthetically acceptable genitalia.
- bifid phallus
- hypospadiac meatus.
How to Cite
Wecker SS. Pene gemino visus quidam. Obs Med Admirab monst Lib. De partibus genitalibus Francofoti; 1609.
Acimi S. Complete diphallia, Scandinavian. Journal of Urology and Nephrology. 2004; 38(5):446–447.
Nesbit RM, Bromme WAM. Double penis and dou-ble bladder. AJR Am J Roentgenol. 1933;30:497–502.
Pendino JA, Diphallus. J Urol. 1950;64: 156–157.
Aleem AA. Diphallia: Report of a case. J Urol.1972;108:3578.
Bhat HS, Sukumar S, Nair TB, Saheed CSM. Successful surgical correction of true diphallia, scrotal duplication, and associated hypospadias. Journal of Pediatric Surgery. 2006;41(10):e13–e14.
Priyadarshi S. Diphallus with ectopic bowel segment: A case report. Pediatric Surgery International. 2005;21(8):681–683.
Karna P, Kapur S. Diphallus and associated anomalies with balanced autosomal chromosomal translocation, Clinical Genetics. 1994;46(2):209–211.
Mukunda R, Bendre PS, Redkar RG, Hambarde S. Diphallus with anorectal malformation-case report. Journal of Pediatric Surgery. 2010;45(3)632–634.
Andrey Frolov, Yun Tan, Mohammed Waheed-Uz-Zaman Rana, John R. Martin A rare case of human diphallia associated with hypospadias case reports in urology; 2018.
Djordjevic ML, Perovic SV. Complex penile joining in a case of wide penile duplication. The Journal of Urology. 2005;173(2):587–588.
Perovic S, Djordjevic M, Brdar R, Ducic S. Penile duplication with long distance: Joining with successful outcome. European Urology Supplements. 2003;2 (1):209.
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