A Two-Year-Old Boy with Diphallia and Multiple Congenital Anomalies

Diphallia is a rare urogenital defect and varies from small accessory penis or duplication of the glans to complete penile duplication. Its incidence 1 in 5.5 million live births. Only 100 cases were reported 1609 until 2021. A two-year-old boy with diphallia multiple congenital anomalies had an uncircumcised two urethral orifices, accompanied by scrotum bifidum, asymmetric right buttock, normal anorectal position. Spina bifida lipomyelocele, tethered cord at level vertebra lumbar 3-4, left mild hydronephrosis observed using Magnetic Resonance Imaging (MRI). Urethrocystoscopy both urethra revealed meatal stenosis bulbar stricture, posterior urethral, no verumontanum orifice did dilatation. Whereas orifice, anterior urethra, found side. Management for must consider associated goal patient satisfaction. In this case, conservative treatment best choice.