Figure 1. Bifid glans after foreskin retraction
We have concluded that the proximal part of the meatus was obliterated. Cavernosography could not be performed, because this infant was not able to cooperate. In physical examination, a connection was found between the glans and the corpus cavernosum. Multidisciplinary approach is very important for the cases with genitourinary abnormalities. For this reason, we have requested additional second opinions from plastic surgery and child psychiatry departments. Due to the complication risks of surgical procedures performed on glans penis and the very young age of the patient, we have decided to plan the operation in the following years upon the consent of the family.
Table 1. A literature review of preoperative and postoperative datas of diphallus
Many studies apparently have not longer follow-up periods. In a comprehensive study with six cases Mirshemirani et al., stated that additional anomalies were observed in all cases that required additional surgical procedures [1]. In case reports presented by Deshpande [7], Kundal [8], and Tepeler [2], Elsawy [9], Dunn [10], Tirtayasa [11], and Karagözlü Akgül [12], phalloplasty plus scrotoplasty was performed for the correction of an additional anomaly. In only one case presented by Zhang [13], any additional anomaly was not reported. There is not enough information about the long-term complication rates of the surgical procedures performed for accompanying urethral malformations, and there is also no clear data on the effect of surgical procedures on the improvement of erectile dysfunction, which is associated with the congenital defects of corpus cavernosum. More comprehensive and prospective studies with longer follow-up periods are needed to get more insight into diphallus and other associated conditions.
Ethics Committee Approval: N / A.
Informed Consent: An informed consent was obtained from the patient.
Publication: The results of the study were not published in full or in part in form of abstracts.
Peer-review: Externally peer-reviewed.
Authorship Contributions: Any contribution was not made by any individual not listed as an author. Concept - H.I.I.; Design - H.I.I.; Supervision – B.A.; Resources - B.A.; Materials - I.G.K.; Data Collection and/or Processing - O.Y.S.; Analysis and/or Interpretation – I.G.K.; Literature Search – A.K.; Writing Manuscript - H.I.I.; Critical Review - B.A.
Conflict of Interest: The authors declare that they have no conflict of interest.
Financial Disclosure: The authors declare that this study received no financial support.