Penile duplication without removal of corporal tissue: Step by step of an excellent cosmetic result

Leite, Mila Torii Corrêa; Fachin, Camila Girardi; Maranhão, Renato Frota de Albuquerque; Shida, Márcia Emília Francisco; Martins, José Luiz

doi:10.1016/j.jpurol.2013.12.020

Cited by 11 publications

(5 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In more complex cases, where there is only one corpus cavernosum in each penis, the joining of two corporal bodies with penile reconstruction has been reported. 4,6,10,16,17 Every patient with diphallia needs to be carefully examined for the assessment of associated malformations. 10 The great variability of the anatomy and the presentation in cases of diphallus result in different strategies for the management of malformation.…”

Section: Discussionmentioning

confidence: 99%

Diphallia: a case report of a rare anomaly evaluated by magnetic resonance imaging

Duarte¹,

Dos-Santos²,

Silva³

et al. 2021

Turk J Pediatr

View full text Add to dashboard Cite

Background. Diphallus, also known as penile duplication, is a rare malformation, seen once in every 5 to 6 million births. Newborns showing this condition present higher mortality rates due to malformations and infections. The underlying etiology of this malformation is uncertain, but it is thought to be associated with trauma, drug use, or infections that may affect fetal the mesoderm between the 23rd and 25th day of pregnancy. Our objective is to describe this rare malformation - diphallus - through magnetic resonance imaging, as well as additional findings. Case. A Three-month-old male patient with a 33-week ultrasound demonstrating genital malformation presented to our clinic. At birth, the physical examination revealed diphallia and imperforated anus. Surgical procedures were carried out right after birth to correct the anus malformation. The child did not present any alteration in skin color, and no signs of pain were shown in the abdomen, pelvis, and penises palpations. Urination was observed only through the right penis. Magnetic resonance imaging (MRI) showed two penile structures, each one presenting developed with corpus cavernosum. The penis located on the right showed a complete urethral path in the corpus spongiosum to the vesical floor while the penis located on the left was bigger and did not present a urethral path. Conclusions. Penile duplication is a rare condition that is often, associated with other malformations, especially anorectal. To fully understand the extension of congenital anomalies and to determine the optimal surgical approach, MRI yields detailed imaging of the entire pelvic region, providing a thorough anatomical frame of reference, and should be routinely incorporated into presurgical evaluation.

show abstract

Section: Discussionmentioning

confidence: 99%

Diphallia: a case report of a rare anomaly evaluated by magnetic resonance imaging

Duarte¹,

Dos-Santos²,

Silva³

et al. 2021

Turk J Pediatr

View full text Add to dashboard Cite

show abstract

“…In general, associated malformations should be treated first. [ 19 ] In the case of an actual penile duplication, partial duplication, and pseudoduplication, most surgeons choose to directly resect the hypoplastic duplicate penis, glans, or the accessory penile-like tissue in order to keep the main urethra. For hemiphalluses, more and more authors suggest joining the 2 penises without excision of excess tissue to preserve the excellent appearance and normal functionality of the external genitalia.…”

Section: Discussionmentioning

confidence: 99%

Pseudodiphallia: a rare kind of diphallia

Zhang

Yu²,

Liu³

et al. 2020

Medicine

View full text Add to dashboard Cite

Rationale: Pseudodiphallia, as a rare kind of diphallia, which is characterized by a small accessory penile-like tissue without a normal penile anatomy structure. Only a few cases have been reported. Here, we report a case of pseudodiphallia with phimosis and bilateral extrarenal pelvis. Patient concerns: A 23-year-old male visited our hospital with a complaint of external genitalia malformation. Physical examination revealed a normal-sized penis with phimosis, and an extra half glans horizontally attached to the right side of the normal glans penis is visible after completely retracting the foreskin. The CT urography showed a bilateral extrarenal pelvis, and no other abnormalities were found in the kidneys, ureter, bladder, and vertebral bodies. Diagnosis: Based on the physical examination and the CT urography results, the 23-year-old male was diagnosed with Pseudodiphallia. Intervention: Excessive penile tissue was resected, and a foreskin circumcision operation was performed under general anesthesia. Outcomes: The patient recovered smoothly without complications (no infection, hematoma, or wound dehiscence) after surgery. At 6 months follow-up, the patient was content with the external genitalia's appearance, and the urination and erectile function were normal. Lessons: Pseudodiphallia is a rare kind of diphallia, and this is the first report on pseudodiphallia with a bilateral extrarenal pelvis. CT urography can be used to assess the associated internal anomalies before surgery.

show abstract

“…Penile duplication usually presents with associated penile anomalies such as hypospadias, epispadias, chordee, ectopic urethra, and blind-ended or hypoplastic urethra ( 1 , 2 , 3 , 4 , 5 , 6 , 7 ). In our case, true diphallia presented with multiple associated anomalies such as anal atresia and duplication of the bowel and bladder, but there was no pathology in the penile structures in both penises.…”

Section: Discussionmentioning

confidence: 99%

“…Another case with imperforate anus, double bladder, and duplicated penis, reported by Mirshemirani et al ( 4 ), was managed with laparotomy and colostomy on the third day of life, and cystoplasty and reimplantation of left ureter in a single bladder and resection of left phallus were performed when the patient was 4 months old. If there is one corpus cavernosum in each penis, joining two corporal bodies with penile reconstruction is preferred ( 1 , 6 ). Elsawy et al .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Complete Penile Duplication with Structurally Normal Penises: A Case Report

et al. 2018

View full text Add to dashboard Cite

Background:Diphallia is a very rare anomaly and seen once in every 5.5 million live births. True diphallia with normal penile structures is extremely rare. Surgical management for patients with complete penile duplication without any penile or urethral pathology is challenging.Case Report:A 4-year-old boy presented with diphallia. Initial physical examination revealed first physical examination revealed complete penile duplication, urine flow from both penises, meconium flow from right urethra, and anal atresia. Further evaluations showed double colon and rectum, double bladder, and large recto-vesical fistula. Two cavernous bodies and one spongious body were detected in each penile body. Surgical treatment plan consisted of right total penectomy and end-to-side urethra-urethrostomy. No postoperative complications and no voiding dysfunction were detected during the 18 months follow-up.Conclusion:Penile duplication is a rare anomaly, which presents differently in each patient. Because of this, the treatment should be individualized and end-to-side urethra-urethrostomy may be an alternative to removing posterior urethra. This approach eliminates the risk of damaging prostate gland and sphincter.

show abstract

Penile duplication without removal of corporal tissue: Step by step of an excellent cosmetic result

Cited by 11 publications

References 9 publications

Diphallia: a case report of a rare anomaly evaluated by magnetic resonance imaging

Diphallia: a case report of a rare anomaly evaluated by magnetic resonance imaging

Pseudodiphallia: a rare kind of diphallia

Complete Penile Duplication with Structurally Normal Penises: A Case Report

Contact Info

Product

Resources

About