First Reported Case of Human With Triphallia
April 15, 2021
- Abnormal number of penises is an extremely rare congenital anomaly which affects one in every 5.5 million live births.
- Affected patients may also have some other associated congenital anomalies.
- A 3-month old baby from Duhok, Iraq was presented due to hydrocele.
- Hydrocele is the swelling of scrotum due to fluid accumulation.
- Upon examination, three penises were observed, one original and two supernumerary in the perineum.
- The first of the supernumerary penises was about 2 cm long with a glans and was attached to the root of the penis.
- The second one was about 1 cm long and was below the scrotum.
- A surgery was performed to remove the hydrocele.
- Both of the supernumerary penises were extending to the perineal region and were connected to the original penis.
- Both of the supernumerary penises had corpora cavernosum and spongiosum with the absence of urethra.
- All the supernumerary penises were surgically cut and both corpora were sutured.
- The patient was later discharged with no post-surgery events.
- Follow up was done with no reported unfavorable events.
- Triphallia is a condition where male infant is born with three penises and is unreported in human until now.
- Each case of supernumerary penises are unique.
- Penile position in this anomaly may be ectopic (abnormal location) or orthotopic (normal location).
- Treatment is difficult due to medical, ethical, and cosmetic aspects.
- Multidisciplinary team is required for the management of this condition.
- Depending on the development of corpora and the anatomy of urethra, excision or reconstruction of the duplicate penis may be required.
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