A Rare case of Aphallia
Journal of Pediatric Nephrology,
Vol. 4 No. 2 (2016),
4 July 2016
Aphallia (total absence of penis) is an extremely rare abnormality that can be part of the urorectal septum malformation sequence.
We are reporting a 40-day-old boy who was referred to our nephrology clinic due to the absence of the penis and urinating through the rectum. He was born to a 17-year-old mother and a 24-year-old father, and was delivered term via normal vaginal delivery.
The pregnancy was uncomplicated with no maternal toxin or medication exposure. Both parents were healthy and there was no family history of congenital abnormality. The parents were also unrelated.
Physical examination revealed agenesis of the penis, a normal scrotum, and bilateral normally positioned testises. Moreover, the heart, lungs, abdomen, head and neck, and spinal column were all normal on examination. The karyotype was 46XY and the gender was male. Initial ultrasonography one week after birth revealed moderate bilateral hydronephrosis but the last ultrasonography 45 days later revealed only mild fullness of both kidneys.
Keywords: Aphallia; Gender; penile agenesis.
- penile agenesis
How to Cite
Priya Bahe, Deepak Sharma, Anupam Bahe and Aakash Pandita, An infant with aphallia and its associated complication: A rare case report and review of literature, Trop Doct OnlineFirst, published on March 17, 2015 as doi:10.1177/0049475515576675
Zafer Demirer, Bilal Firat Aip, Sami Uguz, Ali Guragac, and Hasan Cem Irkilata, A rare case of penis agenesis (Aphallia) with associated multiple urogenital anomalies, Int J Surg Case Rep. 2015; 15: 10–12.Published online 2015 Aug 10. doi: 10.1016/j.ijscr.2015.08.004
Saeid Aslanabadi MD1, Sina Zarrintan MD•2,3, Habib Abdollahi MD4, Reza Rikhtegar MD5, Samad Beheshtirouy MD6, Davoud Badebarin,MD1, Mohamed A Baky Fahmy MD7,A Rare Case of Aphallia with Right Kidney Hypoplasia and Left Kidney Dysplasia, Archives of Iranian Medicine, Volume 18, Number 4, April 2015.
Amarendra Kumar, Nameer Faiz, Aphallia: Case report and review of the literature, Department of Surgery, Nalanda Medical College and Hospital, Patna - 800 007, Bihar India.2015;3: 13-16.
Wittkopf J.E., Cooper C.S., Hawtrey C.E., Penile agenesis with a separated scrotum and normal renal function in an identical twin., J. Urol. 2002;167:687–688. [PubMed]
Gautier T, Salient J, Pena S, Imperto-McGinley J and Peterson RE. Testicular function in 2 cases of penile agenesis. J Urol 1981; 126: 556–557.
Aköz T., Erdoğan B., Görgü M., Kapucu M.R., Kargi E. Penile reconstruction in children using a double vascular pedicle composite groin flap. Scand. J. Urol. Nephrol. 1998;32:225–230. [PubMed]
Skoog S.J., Belman A.B. Aphallia its classification and management. J. Urol. 1989;141:589–592. [PubMed]
Coquet-Reinier B, Merrot T, Chaumoître K, Alessandrini P. Atypical ,aphallia. Pediatr Surg Int. 2007; 23: 1131 – 1133.
De Castro R, Merlini E, Rigamonti W, Macedo A Jr. Phalloplasty and urethroplasty in children with penile agenesis: preliminary report. J Urol. 2007; 177: 1112 – 6; discussion 1117.
Kane AD, Ngom G, Ndour O, Alumeti DM. Department of Pediatrics Surgery, Aristide Le Dantec hospital, Dakar, Senegal, Aphallia: A case report and literature review, 2011;8(3):324-325
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