First Reported Case of Human With Triphallia

Abnormal number of penises is an extremely rare congenital anomaly which affects one in every 5.5 million live births.

Affected patients may also have some other associated congenital anomalies.

A 3-month old baby from Duhok, Iraq was presented due to hydrocele.

Hydrocele is the swelling of scrotum due to fluid accumulation.^[1]

Upon examination, three penises were observed, one original and two supernumerary in the perineum.

The first of the supernumerary penises was about 2 cm long with a glans and was attached to the root of the penis.

The second one was about 1 cm long and was below the scrotum.

A surgery was performed to remove the hydrocele.

Both of the supernumerary penises were extending to the perineal region and were connected to the original penis.

Both of the supernumerary penises had corpora cavernosum and spongiosum with the absence of urethra.

All the supernumerary penises were surgically cut and both corpora were sutured.

The patient was later discharged with no post-surgery events.

Follow up was done with no reported unfavorable events.

Triphallia is a condition where male infant is born with three penises and is unreported in human until now.

Each case of supernumerary penises are unique.

Penile position in this anomaly may be ectopic (abnormal location) or orthotopic (normal location).

Treatment is difficult due to medical, ethical, and cosmetic aspects.

Multidisciplinary team is required for the management of this condition.

Depending on the development of corpora and the anatomy of urethra, excision or reconstruction of the duplicate penis may be required.

Why Do Fish Swim Together? Scientists Uncover an Evolutionary Mystery