The Experts below are selected from a list of 192 Experts worldwide ranked by ideXlab platform
Jinchung Shih - One of the best experts on this subject based on the ideXlab platform.
-
prenatal diagnosis of true Diphallia and associated anomalies
Obstetrics & Gynecology, 2014Co-Authors: Pokai Yang, Jinchung ShihAbstract:BACKGROUND Diphallia poses several surgical, psychological, and esthetic issues. Currently, Diphallia is only diagnosed after birth. CASE We present a true Diphallia in one fetus of dichorionic twins noted at 23 weeks of gestation. In this fetus, two phallus-like protrusions and a bifid scrotum, as well as a duplicated collecting system of both kidneys, were found on ultrasonogram. Unfortunately, the fetus died near term. CONCLUSION Diphallia, although exceedingly rare, can be precisely diagnosed antenatally. Careful ultrasound examination of the origins of the fetal phallus and of other adjacent organs is essential to establish the diagnosis of Diphallia and to detect any associated anomalies.
Solmaz Piri - One of the best experts on this subject based on the ideXlab platform.
-
Prenatal Diagnosis of Concomitant Accessory Scrotum and Diphallia in the Accessory Tissues: Case Report.
Urology, 2019Co-Authors: Alireza Sina, Abdol-mohammad Kajbafzadeh, Elham Elahi, Amirhosein Sina, Shabnam Sabetkish, Solmaz PiriAbstract:A case of accessory scrotum with duplicated penis (Diphallia) in a male fetus is reported because of its rarity. This case is presented with proved negative androgen receptors in the accessory genitalia. The results of excisional surgery as well as immunostaining for androgen receptors in the resected specimens are presented as well. The outcomes of prenatal ultrasonography, clinical examination of the infant, and pathologic findings of the resected accessory genitalia are also discussed.
Pokai Yang - One of the best experts on this subject based on the ideXlab platform.
-
prenatal diagnosis of true Diphallia and associated anomalies
Obstetrics & Gynecology, 2014Co-Authors: Pokai Yang, Jinchung ShihAbstract:BACKGROUND Diphallia poses several surgical, psychological, and esthetic issues. Currently, Diphallia is only diagnosed after birth. CASE We present a true Diphallia in one fetus of dichorionic twins noted at 23 weeks of gestation. In this fetus, two phallus-like protrusions and a bifid scrotum, as well as a duplicated collecting system of both kidneys, were found on ultrasonogram. Unfortunately, the fetus died near term. CONCLUSION Diphallia, although exceedingly rare, can be precisely diagnosed antenatally. Careful ultrasound examination of the origins of the fetal phallus and of other adjacent organs is essential to establish the diagnosis of Diphallia and to detect any associated anomalies.
Alireza Sina - One of the best experts on this subject based on the ideXlab platform.
-
Prenatal Diagnosis of Concomitant Accessory Scrotum and Diphallia in the Accessory Tissues: Case Report.
Urology, 2019Co-Authors: Alireza Sina, Abdol-mohammad Kajbafzadeh, Elham Elahi, Amirhosein Sina, Shabnam Sabetkish, Solmaz PiriAbstract:A case of accessory scrotum with duplicated penis (Diphallia) in a male fetus is reported because of its rarity. This case is presented with proved negative androgen receptors in the accessory genitalia. The results of excisional surgery as well as immunostaining for androgen receptors in the resected specimens are presented as well. The outcomes of prenatal ultrasonography, clinical examination of the infant, and pathologic findings of the resected accessory genitalia are also discussed.
Rien J.m. Nijman - One of the best experts on this subject based on the ideXlab platform.
-
Clinical and embryologic aspects of penile duplication and associated anomalies.
Urology, 2002Co-Authors: Kostis Gyftopoulos, Katja P. Wolffenbuttel, Rien J.m. NijmanAbstract:To report 2 cases of penile duplication and review the literature in an attempt to categorize the associated anomalies in relation to the degree of penile duplication. Embryologic considerations of this rare anomaly are also reviewed. We report 2 distinct cases of Diphallia. In the first case, true complete penile duplication was associated with multiple malformations, including a cloacal anomaly, colon and bladder duplication, a horseshoe kidney, a bifid scrotum with undescended testes, a hypoplastic right leg, and a ventricular septum defect. The second patient presented with true, complete Diphallia and bladder and urethral duplication but an absence of other anomalies. The patients were individually treated according to the concomitant malformations. A review of published reports allowed a classification of associated anomalies in 77 cases of Diphallia, according to the degree of penile duplication. The first patient underwent a series of staged surgical repairs, including correction of the congenital heart anomaly, separation of the urogenital and gastrointestinal tract and resection of the duplicate terminal colon, excision of the smaller bladder and underdeveloped duplicate penis, bilateral orchiopexy, and hypospadias correction. The second patient underwent bladder fusion and excision of a urethrorectal fistula. Penile reconstruction was left for a later stage. An analysis of the cases available in published studies suggests that Diphallia is often associated with a wide spectrum of anomalies that vary from severe malformations to less significant variations of human anatomy. Penile duplication is a rare anomaly. Thorough investigations are mandatory in all cases to reveal underlying congenital malformations that are potentially life threatening and require immediate surgical correction. Treatment should always be individualized according to the degree of penile duplication and the extent of the concomitant anomalies.