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Pathology | Penis I - [click on image(s) below]

Congenital Anomalies: Too many, Too few...

  1. Diphallus:
    • duplication of the penis
    • rare anomaly that may range from small accessory penis to the real deal...times two.
    • associated anomalies: hypospadias, bifid scrotum, duplicated bladder, renal agenesis/ ectopia, etc. etc.
  2. Aphallia (penile agenesis)
    • results from failure of the genital tubercle to develop
    • incidence: 1/10,000,000 live male births (only 70 reported cases)
    • usually has appearance of well-developed scrotum with bilaterally descended testes, but no penile shaft
    • urethral opening most often on the anal verge adjacent to a small skin tag; otherwise, may be in rectum
    • associated anomalies: cryptorchidism, horseshoe kidney, renal agenesis, imperforate anus, etc. etc.