A Pakistani baby has been born with two working penises and no anus, a phenomenon that could be the very first of its kind. Doctors in the Pakistani capital of Islamabad, where the boy was delivered, had to perform emergency surgery to create an opening via a colonoscopy so that he could pass stools. The condition is known as diphallia, though it appears the boy may be the first case where there is no working anus in addition to the multiple penises.
The rare case was published in a medical journal by the Pakistani team who delivered the child.
They said that both of his penises were “normal-shaped”, though one was roughly one centimetres shorter than the other.
The “well-formed phalluses” were roughly 1.5cm and 2.5cm in length when the baby was born.
They were both attached to a single bladder via two urethras, meaning he was able to pass urine “through both orifices”.
The boy, born after 36 weeks, was treated at the Children’s Hospital at the Pakistan Institute of Medical Sciences.
The chances of suffering from diphallia, according to the team of doctors and surgeons that delivered him, is roughly one in six million.
Their findings were published in the International Journal of Surgery Case Reports. Only 100 cases have even been recorded in medical literature, they said, with the first dating back to 1609.
They added that only one percent of diphallia sufferers also have a defect which affects their anus or rectum.
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It is unclear how diphallia occurs, and there is no known single risk factor — but it’s thought to happen by chance when genitalia develops in the womb.
Patients can either have complete diphallia, when both penises are well developed, or partial diphallia, when one penis is smaller or deformed.
The condition is associated with other abnormalities, including being born with two scrotums, but it is rare to be born without an anus.
Patients can also suffer from Triphallia, which is the condition of having three penises and is even more rare.