Diphallia, Double Bladder, and Two Hemiscrotums: A Case Report

Dunn, Debra; Fine, Ronnie

doi:10.1002/aorn.12697

Cited by 12 publications

(7 citation statements)

References 27 publications

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“…The understanding of lower urinary tract duplications is, however, incomplete. Dunn and Fine 24 state that penile and bladder duplication could occur together if there is an incomplete fusion of the mesoderm bands, resulting in formation of two separate genital tubercles instead of one genital tubercle. The occurrence of duplication in different planes reported in one boy (coronal bladder duplication and sagittal urethral duplication), however, implies a different origin of development of lower urinary tract duplications 20 .…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment and outcome of complete unilateral urinary tract duplication in a dog

Sprocatti¹,

Reese²,

Charlesworth³

2020

Veterinary Surgery

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Objective: To report the surgical technique and outcome for correction of complete unilateral duplication of the left urinary tract in a dog. Animals: One 7-month-old entire male Jack Russell terrier. Study design: Case report Methods: A dog was referred for investigation because of urinary incontinence (UI), preputial irritation (pruritus), diphallia, and cryptorchidism. Computed tomography including urethrographic studies revealed a left duplex kidney, double ectopic left ureters, and a duplex urinary bladder comprising two halves separated by a median septum, each of which emptied into a separate urethra which coursed through separate penises. The left testis was abdominally retained. The right upper urinary tract was considered normal, and the right testis was within the scrotum. Left sided ureteronephrectomy was performed, the median bladder septum was ablated, and the left urethra was ligated. The left penis was partially amputated, and the dog was castrated. Results: Urinary incontinence was improved but persisted after surgery. After repeat imaging, revision surgery was performed 3 months later in which the distal stumps of the (left) ectopic ureters were found to be filling with urine from the right urethra. Urinary incontinence resolved after resection of these ureteric stumps from the prostate and complete transection of the left urethra. Conclusion: Extensive surgery with resection and correction of urinary tract duplication was successful in resolving UI in this case. Urogenital duplication should be considered a rare cause of UI. The presence of external congenital deformity (eg, diphallia) should alert clinicians to the possibility of significant concurrent internal abnormalities.

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Section: Discussionmentioning

confidence: 99%

Surgical treatment and outcome of complete unilateral urinary tract duplication in a dog

Sprocatti¹,

Reese²,

Charlesworth³

2020

Veterinary Surgery

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“…[8][9][10][11][12] Even though the association of bladder duplication with diphallia has been described in few case reports so far, the occurrence of both of these anomalies in concurrence with a third bladder with features of exstrophy makes our case exceptional. [13][14][15] In our patient, since each duplicated bladder had its own ureters and urethra and the exstrophied bladder was dry, simple excision of the bladder plate and abdominal wall closure was done. This approach is favored as per the recommendations of Benjamin and et al 6 The surgical management of the diphallia was left to be done at a later age.…”

Section: Discussionmentioning

confidence: 92%

A Triplicated Bladder with Diphallia; Rare Variant of Duplicate Exstrophy

Gebreselassie¹,

Godu²,

Assefa³

et al. 2023

RRU

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Background Exstrophy variants are well described urologic anomalies. They are characterized by atypical anatomical and physical findings than those found in patients with classic bladder exstrophy and epispadias malformation. The combination of these anomalies with duplicated phallus is a rare occurrence. Here we present a neonate with a rare form of exstrophy variant associated with penile duplication. Case Summary One day old male neonate who was born at term was admitted to our neonatal intensive care unit. He had lower abdominal wall defect and open bladder plate with no visible ureteric orifices. There were two completely separate phalluses with penopubic epispadias and urethral orifices draining urine. Both testes were descended. Abdominopelvic ultrasound showed normal upper urinary tract. He was prepared and operated with intra operative finding of complete bladder duplication in the sagittal plane and each bladder has its own ureter. The open bladder plate which had no connection with both ureters and urethras was excised. The pubic symphysis was approximated without osteotomy and abdominal wall was closed. He was immobilized with mummy wrap. He had uneventful post-operative course and was discharged on the 7th post-operative day. He was evaluated on the 3rd month post operatively and he was thriving well with no complications. Conclusion The occurrence of a triplicated bladder along with diphallia is an exceptionally rare urologic anomaly. As a number of variations are possible in this spectrum, the management of neonates with this anomaly should be individualized.

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“…Primarily the condition is associated with other congenital abnormalities in different areas of body, for example, in kidneys, vertebral abnormalities and anorectal malformation. 8 Anatomically it is classified into three different types by Schneider. According to his classification, this condition can exist in double glans with a single shaft, double glans with the double attached shaft, or two completely different penises.…”

Section: Discussion/conclusionmentioning

confidence: 99%

A case report on penile duplication: A rare congenital anomaly

Ali

Irfan

Irfan³

et al. 2022

Journal of Clinical Urology

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Introduction: Penile duplication or penile diphallia is a rare congenital anomaly that is mainly associated with renal, anorectal or vertebral anomalies, that is, spina bifida. This condition was first described by Johannes Jacob Wecker in 1609 in Italy. Problem: Its incidence is extremely rare, about one in millions. The aetiology of this condition is unknown up till now; however, it is considered that defect of genital tubercle leads to the formation of diphallia. Methods: The condition is diagnosed clinically, and management depends on the appearance of genitalia and the associated anomalies as well as after taking into account the social and ethical considerations. Most of the time, management involves surgical incision of the non-functioning penis. Results: In this case report, a child of age 10 years presented with double penis since childhood. The child was evaluated clinically and radiologically for any other associated abnormalities, and his non-functional urethra was surgically removed. Level of evidence: Level IV

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Diphallia, Double Bladder, and Two Hemiscrotums: A Case Report

Cited by 12 publications

References 27 publications

Surgical treatment and outcome of complete unilateral urinary tract duplication in a dog

Surgical treatment and outcome of complete unilateral urinary tract duplication in a dog

A Triplicated Bladder with Diphallia; Rare Variant of Duplicate Exstrophy

A case report on penile duplication: A rare congenital anomaly

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