Diphallia: A Unique Case Series Of A Rare Congenital Anomaly

A CASE SERIES

Abstract

Introduction

Diphallia or double penis is very rare and there are very few reported cases in literature. The incidence is 1 in every 5 to 6 million live births. [1] Approximately 100 cases have   been   reported   since   the   first   case   reported   by Wecker in 1609.[2] The extent of duplication and the number of associated anomalies vary greatly, ranging from a double glans arising from a common shaft with no other anomaly to complete duplication of the phallus accompanied   by   multiple   anomalies.[3] Embryologically a diphallus deformity arises from either "separation" of the pubic tubercle, wherein   each   phallus   will   have   only   one corporal body and urethra, or "cleavage" of the pubic tubercle where in each phallus will have two corporal cavernous   bodies and urethras. [4, 5] Diphallus has been classified in different ways, such as glandular, bifid, concealed, complete, hemi-diphallus and triple penis. [5.6] The majority have a single corpus cavernosum in each organ. [7] We hereby report a case of double penis and associated multiple congenital abnormalities.

Keywords: Diphallia,Congenital anomaly,Embryology,Duplication,Multiple abnormalities