alexa Penile Duplication: A Case Report | OMICS International
ISSN: 2168-9857
Medical & Surgical Urology

Like us on:

Make the best use of Scientific Research and information from our 700+ peer reviewed, Open Access Journals that operates with the help of 50,000+ Editorial Board Members and esteemed reviewers and 1000+ Scientific associations in Medical, Clinical, Pharmaceutical, Engineering, Technology and Management Fields.
Meet Inspiring Speakers and Experts at our 3000+ Global Conferenceseries Events with over 600+ Conferences, 1200+ Symposiums and 1200+ Workshops on
Medical, Pharma, Engineering, Science, Technology and Business

Penile Duplication: A Case Report

Kouka SCN1*, Diallo Y1, Millogo S2, Jalloh M3, Niang L3, Mbaye PA4, Diop AK4 and Sylla C1

1Department of Urology, Faculty of Health Sciences, University of Thies, Senegal

2Service Surgery, Tambacounda Regional Hospital, University of Dakar, Senegal

3Service Urology Hospital General de Grand Yoff, University of Dakar, Senegal

4Service surgery, Departmental Hospital Mbour, University of Dakar, Senegal

*Corresponding Author:
Dr Saint Charles Nabab Kouka
UFR Health Sciences
University of Dakar, Thies, Senegal
Tel: 221 77 552 50
E-mail: [email protected]

Received date: February 6, 2016; Accepted date: March 12, 2016; Published date: March 20, 2016

Citation: Kouka SCN, Diallo Y, Millogo S, Jalloh M, Niang L, et al. (2016) Penile Duplication: A Case Report. Med Surg Urol 5:160. doi: 10.4172/2168-9857.1000160

Copyright: © 2016 Kouka SCN, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Visit for more related articles at Medical & Surgical Urology

Abstract

Penile duplication or diphallia is a rare congenital anomaly. The authors report of diphallia in a 54 year old man who was received in consultation for the management of inguinal hernia. A review of the literature describes the clinical presentations and associated malformations and the therapeutic options ranging from a simple excision of the supernumerary penis to a complex reconstruction when associated with severe malformations. This case report did not undergo plastic surgery.

Keywords

Diphallia; Malformation; Rare presentation; Surgeon

Introduction

Penile duplication still called diphallia is a rare congenital malformation [1]. Its frequency is estimated at one in five million births [2,3]. It is a variable clinical expression. Wecker reported the first case in 1609 [1]. In Senegal, we report the first case of the old man, which was discovered incidentally during a consultation.

Case Report

Our patient was 54-years-old man, married and father of four children, without specific medical history, who consulted for the management of a right inguinal swelling in connection with an inguinal hernia. Voiding disorders related to urination by two holes did not cause sexual dysfunction. The clinical examination revealed a right inguinal hernia, a penile duplication and two testicles that are normal in a place no anomaly scrotal. The supernumerary penis was associated with hypospadias (Figure 1).

medical-surgical-urology-penile-duplication

Figure 1: A - penile duplication, B- catheterization transuretral two urethral meats.

Retrograde urethrocystography (UCR) performed on the two penile systems showed urethral duplicity without duplicity of the bladder (Figure 2). After information on the possibilities of plastic surgery, the patient did not accept the resection of the supernumerary penile and he opted for hernia repair which was conducted by the Mac Vay method.

medical-surgical-urology-one-bladder

Figure 2: Retrograde uretrocystography showed two urethra and one bladder.

Discussion

Penile duplication is a rare congenital malformation and the diagnosis is often made at birth [1,2]. It is mainly clinical examination. In the literature, several anatomic classifications have been proposed to characterize the diphallia. So when there are two penises separated each possessing a urethra, a urethral meatus and erectile corpora, it's a complete penile duplication. It is incomplete if each penis has two corpora cavernosa and a spongy body [1-3]. The pseudodiphallia term was used for the first time by Raventós and Villanova [4]. Schneider [5] described three anatomical forms of diphallia: glandular penile, bifid and complete. It’s reflecting the difficulty to find one classification to this malformation.

The many malformations were associated with diphallia such as cryptorchidism, hypospadias, Bladder Exstrophy and pubic symphysis diastasis, duplicity of the urethra, anal duplication, colon and rectosigmoid duplication and imperforate anus [3,4,6,7].

The case that we report is an incomplete diphallia associated with hypospadias of supernumerary penis. The patient does not have erectile dysfunction and difficulties intromission during sex. The miction was normal. However it went out into the main jet at urethral meatus and drops at the hypospadias meatus of ventral penile.

Some authors use the ultrasound to confirm the diagnosis, to detect the number of corpora spongiosum or corpora cavernous and search the malformations accompanying [2,3]. We are using the retrograde uretrocystography is to explore the urethra and the bladder. The I.R.M better assess each penis giving more information on the corpora cavernosa, spongy, and their journey, but it would study the existence or not of other associated malformations [8]. Some authors recommend to use of preoperative cystoscopy for exploring the urethra, bladder and ureteral meatus [3].

The treatment will depend of the case. It is in general surgical and support varies depending on the importance of the malformation and that genital and urinary associated anomaly. The less functional penis is resected for the benefit of the dominant penis [2]. At the same time of operation, associated anomalies are corrected procedure [2,3,6,7,9]. Our patient did not accept the resection of the supernumerary penis because he deemed not necessary to do so.

References

Select your language of interest to view the total content in your interested language
Post your comment

Share This Article

Relevant Topics

Recommended Conferences

  • 7th International Conference and Exhibition on Surgery June 21-23, 2018 Dublin, Ireland Theme: Advancements and Endeavours in the Field of Surgery
    June 21-23, 2018 Dublin, Ireland Dublin, Ireland
  • World Summit on Trauma and Reconstructive Surgery Sep 10-11, 2018 Singapore Theme: Expanding new horizons in Trauma and Surgery
    Sep 10-11, 2018 Singapore City, Singapore
  • International Conference on Reproduction and Fertility October 18-19, 2018 Abu Dhabi, UAE
    October 18-19, 2018 Abu Dhabi, UAE
  • 11th International Conference on Clinical and Medical Case Reports October 22-23, 2018 Turkey
    October 22-23, 2018 Istanbul, Turkey

Article Usage

  • Total views: 9264
  • [From(publication date):
    March-2016 - Jun 23, 2018]
  • Breakdown by view type
  • HTML page views : 9177
  • PDF downloads : 87
 

Post your comment

captcha   Reload  Can't read the image? click here to refresh

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2018-19
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri & Aquaculture Journals

Dr. Krish

[email protected]

+1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

 
© 2008- 2018 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
Leave Your Message 24x7