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Rebecca Laube, Alysa Cook, Kevin Winkler
An 8 mo old intact male mixed-breed dog presented for diphallia with paraphimosis of the nonfunctional, accessory penis. Bloodwork, an abdominal ultrasound, and a positive contrast retrograde urethrogram were performed and revealed no other structural abnormalities. Surgical excision of the accessory penis was elected. This is one of three reported cases of diphallia in the dog in the English literature, but this is the only case in which no other congenital abnormalities were identified. The authors also review diphallia in both the veterinary and human literature...
August 9, 2017: Journal of the American Animal Hospital Association
Lisieux E Jesus, Samuel Dekermacher, Erica Lopes, Andreia P Bacon
BACKGROUND: Diphallia is a very uncommon malformation, and glans duplication (GD) is its rarest form. In this last group, patients normally present with esthetic/sexual complaints or obstructed voiding late in life after pubertal genital development. Associated malformations are uncommon and relatively mild in those cases. METHODS: After a case presented, we present herein an extensive review of GD, as the disease is rare, and there is very little about its treatment and there are diverse approaches to address the condition...
April 2017: Journal of Pediatric Urology
Roberto Rodríguez-García, Roberto Rodríguez-Silva, Jaime Peñarrieta-Ruiz
No abstract text is available yet for this article.
January 2017: Revista Médica del Instituto Mexicano del Seguro Social
Héctor Enrique Rossete-Cervantes, Alvaro Villegas-Muñoz
BACKGROUND: The diphallia is a rare anatomic abnormality that occurs in 1 of 5 million births. The etiology is unknown and its appearance varies from a small accessory penis to complete duplication and it is associated with other urogenital, gastrointestinal, cardiac and musculoskeletal congenital malformations. Several classifications have been designed according to the anatomical characteristics and their study is complemented by ultrasound and magnetic resonance imaging. Treatment should be early and individualized in order to achieve a satisfactory aesthetic and functional result...
May 2016: Revista Médica del Instituto Mexicano del Seguro Social
Fumi Matsumoto, Yoshiyuki Onitake, Futoshi Matsui, Kenji Shimada
Diphallia or duplication of the penis is an extremely rare congenital anomaly. Based on the presence of one or two corpora cavernosa in each of the penises, diphallia is classified into two major groups: bifid phallus and true diphallia. Because true diphallia associated with various anomalies is dominant in published studies, little is known about bifid phallus or isolated cases. Here we present a 9-month-old boy with an isolated bifid phallus. After successful reconstruction of the penis and urethra, urinary incontinence became apparent...
February 2016: Urology
Reza Khorramirouz, Amin Bagheri, Abdol-Mohammad Kajbafzadeh
Bladder duplication is a rare congenital anomaly which occurs in the sagittal or coronal plane and it can be associated with other anomalies. It has been previously classified as complete duplication of the bladder and urethra or incomplete duplication with two bladders and common urethra. However, complete duplication of bladder with a single urethra has been rarely reported. Herein, we present a patient with a different variation of bladder duplication in the coronal plane with two urethras originating from the main bladder and associated glans diphallia...
2015: Case Reports in Urology
Masaki Muramatsu, Seiichiro Shishido, Hiroshi Nihei, Yuko Hamasaki, Yoji Hyodo, Takeshi Kawamura, Atsushi Aikawa
Various urological complications in VATER association require careful management. A 15-year-old boy with VATER association, including a hypoplastic lower urinary tract and diphallia, presented with chronic kidney disease and incontinence after a right loop ureterostomy. In order to acquire urinary continence without renal function impairment, an ileocecal reservoir with umbilical catheterizable stoma was created as a urinary reconstruction. The ectopic posterior penis was resected for cosmetic reasons, and the stump of the hypoplastic urethra was opened at the perineal skin...
January 2015: International Journal of Urology: Official Journal of the Japanese Urological Association
Yi-An Tu, Yi-Ning Su, Po-Kai Yang, Jin-Chung Shih
BACKGROUND: Diphallia poses several surgical, psychological, and esthetic issues. Currently, diphallia is only diagnosed after birth. CASE: We present a true diphallia in one fetus of dichorionic twins noted at 23 weeks of gestation. In this fetus, two phallus-like protrusions and a bifid scrotum, as well as a duplicated collecting system of both kidneys, were found on ultrasonogram. Unfortunately, the fetus died near term. CONCLUSION: Diphallia, although exceedingly rare, can be precisely diagnosed antenatally...
August 2014: Obstetrics and Gynecology
Pande Made Wisnu Tirtayasa, Robertus Bebet Prasetyo, Arry Rodjani
Diphallia or penile duplication is an extremely rare congenital anomaly. It occurs once in every 5.5 million live births. The extent of penile duplication and the number of associated anomalies vary greatly, ranging from a double glans from a penis with no associated anomaly up to complete penile duplication associated with multiple anomalies. Here, we report a 12-year-old boy with complete bifid diphallia associated with bifid scrotum, epispadia, and pubic symphysis diastasis along with a review of the articles pertaining to this anomaly...
2013: Case Reports in Urology
Vijay Kumar Kundal, Mufique Gajdhar, Arvind K Shukla, Raksha Kundal
A 3-year-old boy presented with complaints of abnormal genitalia. On examination, there was penile duplication with two completely separate phalluses, unequal in size, one with hypospadias and the other with meatus at the tip of the glans. Voiding cystourethrography revealed a normal sized single bladder but two urethras with no associated vesicoureteral reflux.
February 13, 2013: BMJ Case Reports
Ali-Reza Mirshemirani, Naser Sadeghyian, Leila Mohajerzadeh, Hojat Molayee, Parand Ghaffari
BACKGROUND: Diphallus is an extremely rare anomaly. Numerous associated genitourinary, gastrointestinal and other anomalies have been described with diphallus. These patients need several investigations, and finally surgical intervention. CASES PRESENTATION: In this report we discuss six patients with diphallus which evaluated retrospectively. Five patients had complete diphallia, and one had bifid diphallus. Meatus was normal in 3, hypospadiac in 2, and epispadiac in one patient...
September 2010: Iranian Journal of Pediatrics
Pavai Arunachalam, Suma B Pillai, Divyaswathi Citla Sridhar
Penile abnormalities such as epispadias, diphallia, asymmetry, and aphallia have been reported with cloacal exstrophy. The presence of intravesical phallus with cloacal exstrophy is presented with a review of literature.
July 2012: Journal of Pediatric Surgery
Mohamed Elsawy, Joe Luiz Pippi Salle, Mamdouh Abdulsalam, Abdul Nasser Alsaid
A 37-day-old boy presented with a duplicated penis. Examination revealed presence of two penises, one dorsally located and one ventrally, a large left inguinal hernia and absent right thumb. Abdominal ultrasound and micturating cystourethrogram showed normal kidneys, a single urinary bladder, and partial urethral duplication with no vesicoureteric reflux. The patient was subjected to a new technique, reconstructing the penis without removal of corporal tissue, and therefore not compromising its size. A satisfactory result was achieved...
August 2012: Journal of Pediatric Urology
S Keckler, H A Stephany, T L Spilde, C L Snyder
No abstract text is available yet for this article.
August 2009: European Journal of Pediatric Surgery
Smail Acimi
A case of complete diphallia in a 4-month-old boy is reported. This is the second case to be published from this institution. The embryogenesis and associated anomalies of diphallia are discussed, together with a proposal for a classification based on anatomical, functional and therapeutic aspects of the malformation.
2008: Scandinavian Journal of Urology and Nephrology
G Soccorso, G K Ninan
No abstract text is available yet for this article.
February 2009: European Journal of Pediatric Surgery
Sun-Ouck Kim, Chang Min Im, Jae Sang Joo, Kyung Jin Oh, Seung Il Jung, Kwangsung Park, Chan Choi, Taek Won Kang, Dongdeuk Kwon, Soo Bang Ryu
We report an unusual pediatric case of a primary scrotal lipoma, consisting of a pendulous mass arising in the midline of the scrotum. This is of interest because a pendulous mass in a neonate at the midline of the scrotum and below the penis, which looks just like another penis in terms of its shape, size, and length, could be confused with the "diphallia" condition. Furthermore, the mass was identified in utero. We made the diagnosis on the basis of the histopathologic features.
May 2009: Urology
M J Guirao, G Zambudio, L Nortes, J I Ruiz Jiménez
We report a case of complete urinary tract duplication with true diphallia associated to intestinal and neural anomalies. Complete penile duplication with hypospadias and bifidum scrotum were showed. Moreover, he had got anorrectal disease (anterior anus) and neural tube defects (myelomeningocele). Radiological and functional studies were performed and complete duplication lower urinary tract with coordinate miction were found. Combined surgical approach were used: perineal to remove lateralized and hypospadic penile and abdominal for cystoplasty...
October 2008: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
Amine Bouhafs, Dris El Azzouzi, Younes Halim, Mohammed Arifi, Rachid Belkacem, Mohammed Barahioui
Duplicate bladder exstrophy is an extremely rare congenital malformation. Two forms have been described, the anteroposterior form and the collateral form, which is the less common. We report a case of bladder exstrophy in association with a duplicated lower urinary tract, omphalocele, colic duplication and diphallia. Fewer than 30 cases of duplicate bladder exstrophy have been described previously, emphasizing the embryologic significance of this case. To our knowledge it is the first reported case of such an association of anomalies with the exstrophy-epispadias complex...
October 2006: Journal of Pediatric Urology
Alfred C Papali, Seth A Alpert, John D Edmondson, Max Maizels, Elizabeth Yerkes, Jennifer Hagerty, Antonio Chaviano, William E Kaplan
PURPOSE: Lesions of the pediatric glans penis are an uncommon but important aspect of pediatric urological care. We reviewed the available literature on this topic and did not identify a comprehensive reference resource. We compiled our multi-institutional experience with such conditions to prepare a handy clinical reference source. MATERIALS AND METHODS: The diversity of pediatric glans penis lesions was documented by searching the English and nonEnglish literature as well as the archives at our institutions...
October 2008: Journal of Urology
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