Anterior urethral fusion for treatment of complete penile diphallia: a case report and literature review
10.3760/cma.j.issn.1000-6702.2012.05.014
- VernacularTitle:前尿道融合术治疗完全型双阴茎畸形一例报告并文献复习
- Author:
Hongxiang SHAO
;
Yuemin XU
;
Jiangyong LENG
;
Zhefeng FANG
;
Wei WEI
;
Siliang SHAO
;
Yudi ZHU
- Publication Type:Journal Article
- Keywords:
Diphallia;
Urethral fusion;
Treatment
- From:
Chinese Journal of Urology
2012;33(5):378-381
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo evaluate the efficacy,safety and clinical value of anterior urethral fusion to treat diphallia.MethodsA 17-year-old male patient with complete penile diphallia was treated in March 2011.The physical examination showed two completely separated mature penis; urethrography,and urethroscope showed the two urethras were completely separated and entered the bladder respectively.Two anterior urethras were incised respectively at ventral sides ( from the meatus to bulbar urethra) and then two incised anterior urethras were splintered by a continuous suture with 4-0 polyglactin sutures in side and side.Two penises were splintered into one.The nocturnal penile tumescence test and the penis vibration thresholds were assessed before,and after surgery..ResultsThe patient was followed up for 12 months.There was no hematoma,urinary fistula,urinary incontinence and other complications postoperatively.The penis was recovered with normal appearance; urination and morning erection of penile were normal.6 months after surgery,there was no significant difference in the nocturnal penile tumescence and penis vibration thresholds detection ( P ＞ 0.05).ConclusionThe operation of anterior urethral fusion is a safe and efficient surgical treatment to treat partial complete penile diphallia with less complication and no worse effect on urination and erection of penile.
