True Diphallia: A Report of Two Cases

Abstract

Aims: Diphallia or penile duplication is an extremely rare congenital anomaly. It occurs once in every 5.5 million live births. Wecker (1609) reported the first case in Bologna, Italy. It varies from a small accessory penis or duplication of the glans to complete penile duplication. Presentation of Case: A 31 years old man presented to with urinary incontinence since birth. Examination revealed skin covered exstrophy with two phalli lying side by side in sagittal plane. Case 2: A 3 month old infant was brought to us with complete duplication of penis and urethra, two phalli lying side by side and voiding from both. Both the testes were normally descended and anal opening was normal. Discussion and Conclusion: Penile duplication is rare and no two cases are identical. It can be true complete diphallia, partial diphallia, complete bifid phallus or partial bifid phallus. The meatus may be normal, hypospadiac, or epispadiac and the scrotum may be normal or bifid. The testes may be normal, atrophic, or undescended. Treatment aims at preserving continence, erectile function and aesthetically acceptable genitalia.