PSEUDODIPHALLIA WITH DUPLICATION OF URETHRA. Pseudodifalia con duplicación de uretra

  • Prakash B Billakanti Kasturba Medical College, Manipal University, Manipal, Karnataka
  • Ramachandra Bhat K Kasturba Medical College, Manipal University, Manipal, Karnataka

Resumen

Se presenta un caso raro de “Pseudofalia” en un adulto de  50-60 años de edad, cuyo cuerpo fue donado al departamento de la anatomía del Hospital Universitario Kasturba, Manipal. El sujeto presentaba un pene verdadero, de tamaño normal y otro en miniatura junto a la zona ventral de estructura principal cercana al glande. El glande del pene verdadero no estaba cubierto por el prepucio. El pene accesorio estaba plenamente recubierto por piel  y en la punta una depresión. La observación cercana mostró dos aberturas que indicaban conexión con la uretra. No había más prolongaciones indicando la presencia de glande en este apéndice. El escroto tenía apariencia normal con los testículos  en el lugar. Las arterias y los nervios observados en el pene accesorio eran desviaciones del pene principal. Sin embargo las venas mostraban variaciones. La vena dorsal superficial derecha se originaba en el pene accesorio, mientras que la vena dorsal izquierda estaba formada por la unión de dos venas separadas procedentes del pene principal y el accesorio. Una parte pequeña del órgano accesorio fue para observaciones micros-cópicas, mostrando un cuerpo esponjoso como  una extensión del pene verdadero. El corte mostraba  dos canales uretrales rodeados por tejido esponjoso con espacios cavernosos. Los nervios y los vasos sanguíneos podían verse entre el tejido esponjoso. El epitelio parecía ser una clase de estratificado escamoso (no queratinado). No se observaron anomalías  en el sistema urinario.

 

We present a case of pseudodiphallia in a person whose body was donated to the anatomy department ofKasturbaMedicalCollege, Manipal. The age of the individual was approximately 50-60 years. There was the presence of true penis of normal size and miniature penis attached to the ventral aspect of main structure close to glans. The glans of the true penis was not covered by the prepuce. The accessory penis had full covering of skin and at the tip a depression. Close observation of this showed two openings indicating openings of the urethra. There was no enlargement to indicate the presence of glans in this appendage. The scrotum had normal appearance with the testes in place. Arteries and nerves observed on the accessory penis were derived from the main penis. However veins showed some variations. The superficial dorsal vein on the right side was originating from the accessory penis. Whereas, the left superficial dorsal vein was formed by the union two veins arising separately from the accessory and main penis.A small piece of the accessory organ was processed for microscopic observations, which showed the presence of corpus spongiosum only, as an extension from the true penis. The section showed two urethral channels surrounded by spongy tissue with cavernous spaces. Nerves and blood vessels could be seen among the spongy tissue. The epithelium appeared to be stratified squamous (non-keratinizing) type. No abnormalities were seen in the Urinary system.

Citas

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Publicado
2016-03-28
Sección
Presentación de Casos