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Penile duplication diphallus is an extremely rare disorder. It is almost always associated with other malformations like double bladder, exstrophy of the cloacae, imperforate anus, duplication of the rectosigmoid and vertebral deformities. Meanwhile anal canal duplication, the most distal and least common duplication of the digestive tube and is a very rare congenital malformation. A 21 days old Egyptian neonate is reported with complete penile duplication and two scrotums with each one carrying two palpable testes. Both penises have normal shaft with normally located meatus.
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A year-old male presents with severe anal pain for the past 2 days. His bowel movements have been generally normal, but recently, they have been very painful. Even sitting causes significant discomfort. He denies any fevers, rectal bleeding, or any trauma to the area including anal sex. His past medical, surgical, and social histories are otherwise unremarkable. Patient immediately felt better after procedure.
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