Diphallia and hindgut duplication.
Diphallia is a rare congenital condition that presents in many, varied ways. Associated anomalies are to be expected. These anomalies should be sought out and treated as early in the patient's life as possible because they are the principal cause of mortality in these individuals. Half the patients reviewed by Ravitch in 1953 with duplication of the colon and genital tracts died of intestinal complications. Definitive genital repair should be done at an age where the anatomy is of large enough caliber for eased surgical manipulation, but prior to the age of recall. From our experience with hypospadias repair, the optimal age seems to be 12 months of age. Each case must be treated individually in order to achieve the best functional and aesthetic result.
Dean
J A
JA
Department of Plastic and Reconstructive Surgery, Eastern Virginia Graduate School of Medicine, Norfolk.
Horton
C E
CE
D000293:Adolescent; D001003:Anal Canal / Q000002:abnormalities* / Q000601:surgery*; D002081:Buttocks / Q000002:abnormalities* / Q000601:surgery*; D006801:Humans; D008297:Male; D014564:Urogenital Abnormalities; D014566:Urogenital System / Q000601:surgery*