Webbed Penis Associated With Urethral Duplication: A Case Report

An 18-month-old boy was admitted to our hospital due to the abnormal appearance of the external genitalia. The boy was born at full term after an uneventful pregnancy, and weighed 3400 g with a length of 51 cm and a head circumference of 35 cm. The patient’s history showed that his mother first noticed the abnormal external genitalia at birth, and this was confirmed by his father. After a period of time, his general practitioner referred him to our hospital for surgical treatment. The mother’s pregnancy was uncomplicated and there was no exposure to drugs, alcohol, or other known toxins. Physical examination showed a web of skin between the scrotum and the urethral surface of the penis, and proximal incomplete urethral duplication (Figs. 1A, B). There was no chordee. The excretory urography showed Type I incomplete urethral duplication (Fig. 2A). The results of micturating cystourethrography (MCU) (Fig. 2B) and other laboratory tests were normal. In the operation, the web was incised transversely and sutured vertically. Urethroplasty was performed to repair the incomplete urethral duplication. Circumcision was also performed. He had no problems in the 15 months following the operation.