Abstract

Diphallia is a very rare congenital anomalies occurs 1: 5-6 Million live birth. Associated anomalies like imperforate anus, vertebral deformities, double bladder, exstrophy of the cloacae, and duplication of the recto sigmoid may occurs in association with this. Amongst all anorectal malformations is a common congenital anomaly that can occur in association with diphallia. Here we are presenting a neonate with double functional penis, partial scrotal dysraphism, high anorectal malformations, presence of spina bifida occulta and a perineal lipoma successfully managed by us at our center

Highlights

  • Diphallia is a very rare congenital anomalies occurs 1: 5-6 Million live birth in the United States [1]

  • We are reporting a case of true diphallia with high anorectal malformations, perineal lipoma and spina bifida occulta

  • True diphallia is caused by cleavage of pubic tubercle; bifid phallus is caused by separation of pubic tubercle

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Summary

Introduction

Diphallia is a very rare congenital anomalies occurs 1: 5-6 Million live birth in the United States [1]. We are reporting a case of true diphallia with high anorectal malformations, perineal lipoma and spina bifida occulta. There were two well form penis present side by side and on passing the feeding tube both penises had patent urethra with urine coming out from it. On examination of spine though externally looking normal but on palpation lower lumber spinous process not palpable, suggested features of spina bifida occulta.

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