Complete diphallia : How to proceed?
Copyright © 2022 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved..
INTRODUCTION: Diphallia is a rare anomaly. It has a range of appearances from a small accessory penile to complete duplication.
METHODS: We present a 2 year-old boy with complete penile duplication. The left penile was the largest. NMR (Nuclear Magnetic Resonance) suggested one corporal body for each penile and VCUG (Voiding Cystourethrogram) showed a normal urethra in the right penile and stricture at glandular and mid penile urethra of the left penis. A Y confluence to bulbar urethra was observed confirming only one prostate and bladder.
RESULTS: The cystoscopy through the right penile identified the urethral confluence in the bulbar area. We performed a meatotomy in the left penile to insert the cystoscope and confirmed the blind ending urethra. We decided to remove this penile. The penile was degloved entirely and clamped and took out the corpora at the base.
DISCUSSION: Diphallia can have three presentations: only glans duplication, bifid diphallia and complete diphallia (two corpora cavernosa and a corpus spongiosum for each penile). In our case, each penile presented only one corpora cavernosa and the decision taken was based on urethral patency.
CONCLUSION: The treatment should always be planned individually whereas associated anomalies with the goal of attaining satisfactory functional and cosmetic results.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:18 |
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| Enthalten in: |
Journal of pediatric urology - 18(2022), 3 vom: 25. Juni, Seite 399-400 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Macedo, Antonio [VerfasserIn] |
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| Links: |
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| Themen: |
Case Reports |
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| Anmerkungen: |
Date Completed 28.06.2022 Date Revised 12.07.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.jpurol.2022.02.026 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM338767339 |
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| 245 | 1 | 0 | |a Complete diphallia |b How to proceed? |
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| 500 | |a Date Completed 28.06.2022 | ||
| 500 | |a Date Revised 12.07.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2022 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved. | ||
| 520 | |a INTRODUCTION: Diphallia is a rare anomaly. It has a range of appearances from a small accessory penile to complete duplication | ||
| 520 | |a METHODS: We present a 2 year-old boy with complete penile duplication. The left penile was the largest. NMR (Nuclear Magnetic Resonance) suggested one corporal body for each penile and VCUG (Voiding Cystourethrogram) showed a normal urethra in the right penile and stricture at glandular and mid penile urethra of the left penis. A Y confluence to bulbar urethra was observed confirming only one prostate and bladder | ||
| 520 | |a RESULTS: The cystoscopy through the right penile identified the urethral confluence in the bulbar area. We performed a meatotomy in the left penile to insert the cystoscope and confirmed the blind ending urethra. We decided to remove this penile. The penile was degloved entirely and clamped and took out the corpora at the base | ||
| 520 | |a DISCUSSION: Diphallia can have three presentations: only glans duplication, bifid diphallia and complete diphallia (two corpora cavernosa and a corpus spongiosum for each penile). In our case, each penile presented only one corpora cavernosa and the decision taken was based on urethral patency | ||
| 520 | |a CONCLUSION: The treatment should always be planned individually whereas associated anomalies with the goal of attaining satisfactory functional and cosmetic results | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Diphallia | |
| 650 | 4 | |a Penile malformation | |
| 650 | 4 | |a Reconstructive surgery | |
| 700 | 1 | |a Ottoni, Sérgio Leite |e verfasserin |4 aut | |
| 700 | 1 | |a Camilato, Paula Cartaxo Barros |e verfasserin |4 aut | |
| 700 | 1 | |a Ganchozo, Hugo Santiago Crespo |e verfasserin |4 aut | |
| 700 | 1 | |a Garrone, Gilmar |e verfasserin |4 aut | |
| 700 | 1 | |a Marcondes, Ricardo de Mattos |e verfasserin |4 aut | |
| 700 | 1 | |a Leal da Cruz, Marcela |e verfasserin |4 aut | |
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