Successful surgical correction of true diphallia, scrotal duplication, and associated hypospadias

A I-year-old child with complete duplication of penis presented with continuous dribbling of urine. Examination revealed hypospadias of I penis and a duplicated scroturn with 2 normal testes. Cystourethrogram revealed a single bladder with a normal urethra in the dorsally placed phallus and ectopic insertion into the bladder of the ventral urethra. Abnormality was corrected by excision of the ventrally located penis bearing the ectopic urethra. The preputial skin of this ventral penis was used to repair the hypospadias of the dorsal penis. The case is being reported in view of its rarity and the successful surgical correction. (c) 2006 Elsevier Inc. All rights reserved.