What to know about diphallia (double penis)

What to know about diphallia (double penis)

Diphallia is a rare genetic condition that occurs when a male baby is born with duplication of the penis.

This article is a repost which originally appeared on MedicalNewsToday

There are different types of diphallia, ranging from partial to complete penile duplication. Having two completely developed penises, or true diphallia, is very rare.

Ever since the first description of diphallia in 1609, researchers have only reported 100 additional cases worldwide. It may occur in 1 in every 5–6 million live births.

This article takes a closer look at diphallia, including its symptoms, causes, effects on a male’s life, and the possibilities for treatment.

What is diphallia?

A person with diphallia may have a partial to complete penile duplication.

Every case of diphallia is unique, and the amount of duplication varies with each. Most males with this condition will have two penises of about the same size, located side by side.

Some males will have a larger penis located above a second, smaller penis. For others, the duplication will only affect the head of the penis.

Earlier classification described three types of diphallia:

  • a duplication of only the tip of the penis, or the glans
  • bifid phallus, wherein each penis has only one column of soft tissue (the corpus cavernosum) instead of two, as is normally the case with true diphallia
  • complete diphallia, wherein there is a complete duplication of the penis

However, current classificationsTrusted Source claim that there are only two types of diphallia: true diphallia and bifid phallus.

Diphallia usually occurs alongside other birth irregularities. These can include:

  • a cleft scrotum
  • hypospadias, wherein the opening to the urethra is on the underside of the penis, instead of the tip
  • duplication of the urethra in both penises
  • no urethras in either penis
  • abnormal heart muscles
  • two bladders
  • a missing anus
  • atypical muscles attached to the bones
  • irregular positioning of the scrotum
  • irregularities affecting the public bone
  • misshapen, rotated, or extra kidneys
  • complications of the kidney and colorectal systems

Males with diphallia are at greater risk of spina bifida. They are also more likely to be sterile.

How does it happen?

Diphallia is a genetic condition that comes about during the development of the fetus.

The genetic irregularity that causes diphallia takes effect during the development of the genitals.

Some researchers suggest that exposure to drugs, infections, or other damage between the 23rd and 25th day of gestation could lead to diphallia, as this is a crucial stage of fetal development.

How does diphallia affect a male’s life?

Males with diphallia are often able to urinate through one or both penises. They may also be able to have erections and ejaculate with one or both penises.

Depending on the individual situation, males with this condition may be able to have a normal sex life and have children.

However, there tends to be an increased risk of poorly functioning kidney and colorectal systems. For this reason, infants with diphallia may have a higher risk of death due to infections.

That being said, this may not be the case when diphallia is not associated with other irregularities.

Treatment

Surgery is the only treatment option for diphallia. Treatment is not always necessary, however.

A surgeon will usually perform this surgery at birth or very soon after. The procedure will vary based on how much duplication there is and the presence of other birth irregularities.

Because each case of diphallia is unique, the surgery to treat it can be complicated and difficult. The primary concerns are:

  • making sure that the male will be able to urinate normally and have erections
  • reducing the potential risk of infection
  • reducing structural irregularities

The timing of the surgery will be an important factor due to the male’s likely age. As doctors often diagnose diphallia at birth, there may need to be several surgeries over time.

Individuals with diphallia often have other birth irregularities, such as hypospadias, duplicated urethras, and cryptorchidism (wherein one or both testes do not descend). Researchers reportTrusted Source that in many cases, surgeons can repair the physical irregularities associated with diphallia.

In one case, surgeons treated some of the infant’s irregularities soon after birth, but they only removed the additional penis when the individual was a toddler.

Males with diphallia do not always opt for treatment, as in the case of a 54-year-old male whose doctor diagnosed diphallia during an examination for a hernia. Surgeons repaired the hernia, but the patient did not deem it necessary to remove the smaller penis.

Summary

Diphallia is a rare genetic birth irregularity in which a male infant is born with duplication of the penis. This duplication can involve only the tip of the penis or result in two fully functioning penises.

When males are born with diphallia, they often have other birth irregularities as well.

Surgery is the only way to treat diphallia. Surgeons may address diphallia and additional birth irregularities in several stages.

Males with diphallia can lead full and healthy lives.

10 Things to Stop Doing If You Want a Longer Life

There are a number of things you can resolve to do in order to “slow down” your biological clock and live longer, whether you’re in your 20s or 30s, all the way to your 60s, 70s, and beyond. In fact, research has shown it’s never too late to start healthy habits.

But what about the things you might stop doing in the name of your longevity?

1. Stop Eating Mainly Processed Foods

Cured meats and cheese
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One of the major dietary changes that have taken place in many countries over the last 30 years has been a shift to consuming more processed foods. Along with processing comes an increase in added sodium, more saturated fat, more sugar, and less fiber. The result? More cardiovascular disease, hypertension, cancer, and diabetes.

For example, the National Institutes of Health (NIH) recommends consuming no more than 2,300 mg (less than 2.4g) of sodium each day—less for many seniors and other people with certain health conditions, like high blood pressure. Still, in a survey of more than 7,000 Americans, the Centers for Disease Control (CDC) found people consume an average of 3,300 mg of sodium per day. Most of the salt comes from restaurant and convenience foods, like baked goods, cured meats, and soup.

Do your body a favor, and try to eat “clean” more often, including foods high in fiber (which are linked to greater longevity) and other ingredients you purchase and prepare yourself. If you’re short on time (and who isn’t?), cook ahead in big batches, or splurge on ready-made salads and other fresh or frozen vegetables while watching the sodium and sugar contents on the label.

 

2. Stop Smoking

cigarette butts
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If you’re a smoker, you know how hard quitting can be.

But here’s some inspiration: The NIH says tobacco use remains the most preventable cause of death. Some estimates suggest smoking can rob you of a decade of life.

Whether you quit cold-turkey or phase out your habit, your body is surprisingly forgiving; blood pressure and circulation improve soon after quitting, and your risk of getting cancer decreases every year thereafter. Keep in mind that your family members will also benefit from your staying tobacco-free because they’ll no longer be exposed to dangerous secondhand smoke. You’ll look younger, too.

3. Stop Sitting Still

Woman sitting at a desk
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If you don’t feel you have time to exercise, consider this: You may not need to hit the global minimum recommendations of 30 minutes a day, five or more times per week, to extend your life.

A study published in 2011 in The Lancet, examining the activity habits of more than 416,000 men and women in Taiwan, found that getting just 15 minutes of moderate-intensity exercise each day helped subjects live three extra years. The longevity boost went up to four years of longer life for people achieving the threshold of 30 minutes a day. The results held true even for those with health problems like cardiovascular disease—and for overweight people who didn’t lose any pounds through their activity.

Brisk walking was one of the “moderate intensity” exercises cited in the Taiwanese research. You might have to make a conscious effort to work it into your daily routine, but 15 minutes of activity for an extra three years of life sounds like a longevity bargain.

4. Stop Holding a Grudge

Serene senior woman meditating lotus position living room
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Anger can be a tough emotion to release, especially if you feel justified in your outrage. Maybe the best question to ask yourself is this—is it worth the cortisol? Levels of this stress hormone go up when you’re stressed or angry, with negative effects on your heart, metabolism, and immune system. High cortisol has been associated with greater mortality in a number of studies.

 

5. Stop Keeping to Yourself

Mature female friends with wineglasses and books at house party
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Staying social can be a good longevity booster, mostly by helping you manage stress and by strengthening your immune system. Good relationships keep you strong, while bad relationships can leave you in a negative frame of mind, and put you ?at risk of depression and even heart attacks.

Staying connected can be a tough one if you are feeling down, have lost someone close to you, or live far away from extended family and friends. There are ways to re-engage and meet new people even if you are in a new city, including volunteering and reaching out to others with similar interests through networks like business groups and book clubs.

6. Stop Thinking That Only Big Changes Count

Woman eating salad and using laptop in office
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Sweeping, radical changes in lifestyle might be inspiring, but they can also be too daunting—and therefore, short-lived—for ordinary mortals. The next time you resolve to eat healthier or exercise more, try aiming low! Try choosing just one small change at a time, like getting up 10 minutes earlier in the morning to fix yourself a healthy lunch for work, instead of a major life makeover. Like the exercise advice above shows, even short spurts of activity each day can reap big benefits for your lifespan.

Small shifts can fly under your own radar, adding up to big benefits over time without causing stress in your busy world. Consistency is more important than a short-term, grand gesture. Besides, looking at what’s already working in your day-to-day routine can help you feel energized and motivated to tweak a little more in a healthy direction.

 

7. Stop Letting Fear (or Denial) Keep You From Being Healthy

Male patient sitting on exam table in clinic room
Thomas Barwick / Getty Images

Of all the personality traits that could affect your longevity, conscientiousness consistently ranks as an important one, perhaps the most important one. Why? Well, conscientious people tend to engage in healthy behaviors like eating well, exercising, and following their doctors’ advice, while avoiding risky behaviors like smoking and driving too fast.

However, don’t confuse being conscientious or diligent with being neurotic about your health, a trait that may be linked to negative emotions like anxiety, anger, and depression. A simplified example might be that a neurotic person worries he might have cancer, and fearing the worst, doesn’t go to his doctor. By contrast, a conscientious person may still worry, but gets screened or tested, learns about the disease, and gets treated in a timely fashion.

 

8. Stop Cheating Your Night’s Sleep

woman curled up in bed
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The amount of sleep you get can affect your lifespan, and not just because a sleepy driver is at risk of a car accident. In epidemiological studies, sleeping too little (fewer than six hours) or substantially more (over nine hours) has been shown to put people at greater risk of death.

Quality of life is also on the line: A good night’s sleep can help you ward off stress, depression, and heart disease.

You can learn to fall asleep more quickly and take measures that can help, like keeping your bedroom dark and distraction-free and having the temperature on the cool side. Meditation exercises can set the stage for a good night’s sleep, and an inexpensive noise machine can help with relaxing sounds. If you’re still having trouble getting to sleep or staying asleep, see your health provider for further help.

9. Stop Stressing

Young woman practicing yoga in office
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Like anger, stress takes its toll on your body and may actually shorten your life. By trying to reduce stress, you can improve your health in the long-term, and quality of life in the meantime.

Journaling or writing in a diary, meditating (a practice with multiple longevity benefits), and learning to relax are wonderful ways to de-stress. Working in just a few minutes of meditation a day—even at your desk—can give your brain the mini-vacation from anxiety and tension it needs.?

10. Stop Relying on (or Blaming) Your Genes

Three generations of family hiking
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Having parents, grandparents, or other family members live into their nineties and beyond might suggest that you will too, but don’t rely too heavily on that family history. Studies conducted on twins in Scandinavia suggest that genetics may be responsible for only about a third of your longevity potential.

This is, of course, good news for those of us without that exceptional ancestry. Environmental and lifestyle factors like diet, how much exercise you get (what researchers call modifiable risk factors), whether you’re exposed to workplace toxins, how much stress you experience, how conscientious you are about medical tests and screenings, and even the strength of your social relationships all play a huge role in how fast you age and how long you might live. Besides, why focus on the genetics you can’t control when the factors you can benefit from your attention?


BY: SHARON BASARABA

MEDICALLY REVIEWED BY: RICHARD N. FOGOROS, MD

* This article is a repost which originally appeared on verywellhealth.com.