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Diphallia , penile duplication PD , diphallic terata , or diphallasparatus , is an extremely rare developmental abnormality in which a person is born with two penises. When diphallia is present, it is usually accompanied by renal , vertebral , hindgut , anorectal or other congenital anomalies. There is also a higher risk of spina bifida. It is thought diphallia occurs in the fetus between the 23rd and 25th days of gestation when an injury, chemical stress, or malfunctioning homeobox genes hamper proper function of the caudal cell mass of the fetal mesoderm as the urogenital sinus separates from the genital tubercle and rectum to form the penis. The first case was reported by Wecker in Bologna, Italy, in , and since then, about one hundred cases have been reported.