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A 2-year-old boy was born with oesophageal atresia and a low anorectal malformation (perineal fistula). There were two urethral orifices: one pinpoint epispadiac and one penoscrotal (figure 1A,B). The corpora cavernosa were hypoplastic and flaccid. He passed urine predominantly through the penoscrotal meatus. His parents noted that his penis ‘grew bigger’ during micturition.
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