|Year : 1991 | Volume
| Issue : 6 | Page : 301-302
Diphallus - A rare congenital anamoly of the penis
SN Tolat, MB Gharpuray
S N Tolat
A 24-year-old unmarried male presented with a rudimentary reduplicated penis. This case is reported for its rarity and exotic presentation.
Keywords: Reduplicated penis, Congenital
|How to cite this article:|
Tolat S N, Gharpuray M B. Diphallus - A rare congenital anamoly of the penis. Indian J Dermatol Venereol Leprol 1991;57:301-2
|How to cite this URL:|
Tolat S N, Gharpuray M B. Diphallus - A rare congenital anamoly of the penis. Indian J Dermatol Venereol Leprol [serial online] 1991 [cited 2013 Dec 12];57:301-2. Available from: http://www.ijdvl.com/text.asp?1991/57/6/301/3714
| Case Report|| |
A 24-year-old male shyly presented to us with a peculiar complaint of having a double penis since birth. Apart from being a cosmetic embarrassment the lesion was asymptomatic.
Examination revealed small protrusion, of about 1.1/2 cms in length and 1/2 cms in diameter arising from the shaft of the penis. This elongated mass was an exact replica of the penis, showing a well formed "glans penis", a "shaft" and a miniature retractable "foreskin". The patient experienced no difficulty in micturition, ejaculation or achieving an erection of the major phallus, while all these were absent for the rudimentary one. The scrotum, tests and pubic region were normal on examination. A detailed clinical examination of other systems . revealed no abnormalities. Our patient was referred to the plastic surgeon who successfully excised the miniature penis with a good cosmetic outcome.
| Comments|| |
Embryologically a Diphallus deformity arises from either "separation" of the pubic tubercles, wherein each phallus will have only one corporal body and urethra, or "cleavage" of the pubic tubercle wherein each phallus will have two corporal cavernosus bodies and urethras. 
The defect in our patient seems to be due to cleavage rather than a separation of the pubic tubercles. Both the penises had their own dual corporal cavernosus bodies. The absence of erection in the miniature penis would be due to rudimentary nature of the erectile vascular tissue contained in the cavernosum bodies. The absence of an urethral opening on the rudimentary penis may be due to its urethra ending in a blind duct.  Unfortunately we were unable to perform a preoperative urethrogram on our patient to demonstrate this.
A Diphallus may be associated with other congenital genitourinary anomalies like a bifid scrotum; double bladder, ectopic kidney or diastersis of the pubis.  None of these were evident in our patient. Non urologic anomalies like an imperforate anus; colon duplication, congenital heart disease, myelomeningocoele have also been found with Diphallia. Our patient seems to have escaped from these too.
| References|| |
|1.||Duckett J W and Brent W S : Disorders of urethra and penis, in Campbell's Urology, W.B. Saunders Co, pp 2066. |
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