Purity: Ruling on Doubt About Purification of Back Passage or Urinary Outlet
Practical Laws of Islam as per the teachings of Ayatullah Sistani
Ruling 67
If a person doubts whether or not he has purified the anus or urinary outlet, it is necessary that he purify it even if he habitually purifies it immediately after emptying his bowels and/or bladder.
-Ayatullah Sistani, Practical Laws of Islam, Purification (Taharah)