BACKGROUND:

Congenital aphallia is a rare disease associated with musculoskeletal and cardiovascular malformations.

CLINICAL CASE:

A pre-term (33.4 weeks of gestation) neonate was diagnosed with congenital aphallia. The patient’s weight was adequate in relation to gestational age. The infant presented with a multifocal systolic murmur and absence of the penis and urethra, as well as an imperforate anus and perianal urethrocutaneous fistula that was the exit route for clear urine output. Colostomy and mucosal fistula were performed on the second day of birth and a central venous catheter was placed. The need for cystostomy was later discussed with the parents, but was rejected.

DISCUSSION:

The most important limitation at the time of penile reconstruction is that there is no substitute for erectile tissue. Therefore, the neo-phallus must be satisfactory from the aesthetic, functional, and psychologic perspectives.