IADVL
Indexed with PubMed and Science Citation Index (E) 
 
Users online: 72 
     Home | Feedback | Login 
About Current Issue Archive Ahead of print Search Instructions Online Submission Subscribe What's New Contact  
  Navigate here 
  Search
 
   Next article
   Previous article 
   Table of Contents
  
 Resource links
   Similar in PUBMED
    Search Pubmed for
    Search in Google Scholar for
  Related articles
   [PDF Not available] *
   Citation Manager
   Access Statistics
   Reader Comments
   Email Alert *
   Add to My List *
* Registration required (free)  

 
  In this article
   Abstract
   Case Report
   Comments
   References
   Article Figures

 Article Access Statistics
    Viewed20821    
    Printed100    
    Emailed3    
    PDF Downloaded0    
    Comments [Add]    

Recommend this journal

 


 
CASE REPORT
Year : 1991  |  Volume : 57  |  Issue : 6  |  Page : 301-302

Diphallus - A rare congenital anamoly of the penis


,

Correspondence Address:
S N Tolat


Login to access the Email id


Get Permissions

  Abstract 

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 2014 Oct 25];57:301-2. Available from: http://www.ijdvl.com/text.asp?1991/57/6/301/3714



  Case Report Top


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 Top


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. [1]

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. [1] 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. [1] 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 Top

1.Duckett J W and Brent W S : Disorders of urethra and penis, in Campbell's Urology, W.B. Saunders Co, pp 2066.  Back to cited text no. 1    


    Figures

[Figure - 1]



 

Top
Print this article  Email this article
Previous article Next article

    

Online since 15th March '04
Published by Medknow