Accessory Penile Frenulum: May Go Unnoticed throughout the Journey to Graveyard

Abstract

An accessory frenulum of the penis is so rare that only four cases have been documented so far. We came across a case of 45-year-old, sexually active man who sought medical attention for right foot injury caused by a road traffic accident. During a detailed clinical evaluation, he was discovered to have double frenulum in his penis. Along with the normal ventral frenulum he had an additional dorsal frenulum located at the 10 O'clock position. No history of penile torsion could be elicited from the patient. He had completed his family by the time of presentation, without any symptom of sexual dysfunction or dyspareunia. He was not offered any treatment for this congenital anomaly as it did not have any functional or aesthetic implication. A literature review was conducted to determine the incidence, spectrum of clinical presentation, and management of this pathology.