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No studies have focused on the prevalence and clinical manifestations of penile gonococcal cutaneous and accessory gland infections in men with gonorrhea. We enrolled patients with penile gonococcal cutaneous and accessory gland infections and patients with urethral gonorrhea from January 2014 to February 2020. Demographic data, occurrence sites, and manifestations of all patients were recorded. Fifty-one patients with penile gonococcal cutaneous and accessory gland infections were observed among 1,994 (2.6%; 95% CI, 1.9%-3.4%) patients