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 the literature. The incidence is 1 in every 5 to 6 million livebirths.[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.[2,3] 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 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 a double penis and associated multiple congenital abnormalities.

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