Surgical treatment of penile duplication.
BACKGROUND
Penile duplication is a rare anomaly with an incidence of 1 in 5,500,000. It is normally associated with other malformations, such as double bladder, presence of the cloaca, imperforate anus, duplication of the rectosigmoid and vertebral deformities. Presented here is the surgical technique used to resolve a rare case of complete penile duplication in a 5-year-old child, without any other malformation.


METHODS
A male Caucasian patient presented with a rare diagnosis of complete penile duplication, without any associated systemic malformation. At 5 years of age, he was successfully submitted to surgical treatment. The procedure included the following steps: penile dissection up to the point of ischial-pubic insertion; dissection of the hypoplastic urethra; amputation of the less developed penis; termino-lateral urethral anastomosis and phalloplasty.


RESULTS
Three years after surgery, penile morphology was normal, with a normal urinary flow according to age.


CONCLUSIONS
Treatment should always be individualized. The malformations that are potentially life-threatening should be solved first. Fortunately, this patient had only penile duplication, successfully corrected after surgical treatment.
de Oliveira
Manuel Castanheira
MC
Department of Urology, Hospital de Santo António/Centro Hospitalar do Porto, Largo Prof. Abel Salazar, 4099-001 Porto, Portugal. manuelantonielo@gmail.com
Ramires
Ricardo
R
Soares
José
J
Carvalho
António Pedro
AP
Marcelo
Filinto
F
D002675:Child, Preschool; D006801:Humans; D008297:Male; D010409:Penile Diseases / Q000151:congenital / Q000601:surgery*; D010413:Penis / Q000002:abnormalities* / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D013521:Urologic Surgical Procedures, Male / Q000379:methods*