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SURGICAL MANAGEMENT OF COMPLETE PENILE DUPLICATION: CASE REPORT
Ahsen KARAGOZLU AKGUL
1
, Murat UCAR
1
, Fatih CELIK
2
, Irfan KIRISTIOGLU
2
and Nizamettin KILIC
1
1) Uludag University, Pediatric Surgery Pediatric Urology, Bursa, TURKEY - 2) Uludag University, Pediatric Surgery,
Bursa, TURKEY
PURPOSE
Penile duplication is a very rare anomally and seen once in every 5.5 million live births. It can be isolated, or
accompanied by other congenital anomalies. We present the surgical management of a 4,5 years old patient with
complete penile duplication.
MATERIAL AND METHODS
The video of the surgical technic of penile duplication was edited and the patient data was reviewed retrospectively.
RESULTS
The physical examination in newborn period revealed complete penile duplication, urine flow from both penis, meconium
flow from right urethra and anal atresia. After evaluations, double rectum and double bladder detected and diagnosis
was caudal duplication syndrome. Anterior lypomeningomyelocell, syringohydromyeli cavity and tethered cord were
detected by spinal magnetic resonance imaging. Erection of both penises were observed.
Grade 5 vesicoureteral reflux were established to left kidney. Reduced compliance and nearly normal capacity were
determined by urodynamic study. Two caverneous body and one spongious body were detected in each penile body by
ultrasound.
Ileostomy and than Stephens abdominoperineal pull through were performed in neonatal period. One of the double
colon exised by total colectomy. Left total penectomy and right to left, end to side urethro-urethrostomy were
performed.
There was no trouble on follow up of 6 months postoperatively. On observation, his voiding was normal. On evaluation
of upper urinary system, no dilation was determined, but only minimal residual urine was detected in both bladder.
CONCLUSIONS
Penil duplication is a rare anomaly which has different features for each patient. Because of this, the treatment of
anomaly is sophisticated and requires experience.