Fantastic pic! Do you have two PA's sharing the same meatus but each have their own fistula? I've been trying to find a image of this because I'm considering getting a 2nd PA.
(Speaking loudly, heroically, with feet shoulder-width apart, fists planted at my waist, cape fluttering in wind) FEAR NOT, FOR I SHALL SAVE YOU! (After I kiss, lick, suck, thump and otherwise lightly torture you for 30-40 minutes, of course.)