Редкий случай частичного удвоения головки полового члена

Дифаллия представляет собой редкую деформация, а удвоение головки является самой редкой ее формой. Мы представляем клиническое наблюдение мальчика 6 лет, который обратился по поводу деформации крайней плоти. При обследовании выявлены «узелки полового члена, представляющие собой удвоение головки.
У пациента была одна уретра и не было других врожденных аномалий. Ему была успешно выполнена хирургическая коррекция с помощью радиочастотной аблации.

Introduction. Diphallia is a rare congenital deformity with an incidence of one in every five million births [1]. Glans duplication, its rarest form might only be encountered once in a lifetime. However there might be simpler cases such as in our patient that are underreported due to individual’s embarrassment. So our case is interesting because it might help doctors include this deformity in their differential diagnosis and easier recognise it. Moreover doctors dealing with such patients may benefit from our treatment and outcome experience as this is one of very few cases reported in literature and was treated in a unique way.

Case presentation. A 6-year-old boy presented with a small preputial lesion. Familly GP gave us a differential diagnosis of either a granuloma, or an epidermal inclusion cyst, or an isolated genital wart. The patient was born by vaginal delivery and had no previous medical history. No family history of urological problems was reported. On examination the boy was found to be in good general condition. Physical examination did not reveal any pathologic findings except diphalia.

The penile shaft presented indeed a small lesion (Figure 1). This on closer look was diagnosed as a rare case of partial glans duplication. One, smaller but otherwise normal appearing gland was observed in the sagittal plane on top of the larger one (Figure 1). This sagittal Erection mainly affected the large glans but in a milder degree could also be observed in the smaller. Testes were normal in size and intrascrotally located.

The child was investigated preoperatively. Blood tests were normal. Urethrography revealed a normal urethra ending in a normal urethral meat...

Alexandros Vlachos, Christos Plataras, Efstratios Christianakis, Victoria Alexandridi, George Bourikis, Konstantinos Velaoras, Ioannis Alexandrou