Sep 24, 2021 16:00:00

A rare case is reported in which semen and urine come out of the anus and stool leaks out of the urethra.

Doctors at the University of Texas School of Medicine Galveston reported on a rare case of 'semen and urine coming out of the anus and stool leaking out of the urethra.' A 33-year-old man who suffered from this strange symptom reportedly had sperm leaking from his anus after ejaculating for a whopping two years.

Cureus | A Curious Case of Rectal Ejaculation

https://www.cureus.com/articles/68327-a-curious-case-of-rectal-ejaculation

Doctors Intrigued by Man Who Jizzed Out of Butthole
https://futurism.com/neoscope/doctors-rectourethral-fistula

A Rare Medical Complication Caused a Man to Ejaculate from His Anus
https://www.vice.com/en/article/wx5mdz/rectal-ejaculation-study

According to a report published in the Cureus Journal of Medical Science , a platform for sharing case reports, a 33-year-old man was seen by a doctor complaining of 'five days of testicular pain.' In addition to having used illegal drugs in men, he has been suffering from pneumaturia and feces, which are mixed with air and stool in the urine, and a considerable amount of urine and semen leaking from the rectum for the past two years. I did.

Although there were no problems with the male vital signs , urinalysis showed signs of urinary tract infection. Subsequent CT examination revealed that there was a 'gas-filled structure' between the rectum and the prostate, and that a 'rectal urethral fistula', a hole connecting the rectum and the urethra, was formed. It became clear. The part indicated by the arrow in the image below is a gas-filled rectal urethral fistula.

Because the male rectum and urethra were connected by a tubular hole, urine and semen that would otherwise have flowed out of the urethra flowed into the rectum, and rectal stool flowed into the urethra. Although rectal urethral fistulas are extremely rare, they

can occur in about 0.5 out of 100,000 people due to Crohn's disease , prostate cancer, rectal cancer, tuberculosis, abdominal surgery, or rectal trauma. And that. However, the man had never had abdominal surgery and had no potential illness.

Further investigation revealed that a man had a urethral catheter for urination when he fell into a coma for three weeks after taking cocaine and phencyclidine two years ago. Although the catheter had already been removed at the time, doctors point out that the trauma caused by the catheter may have formed a rectal urethral fistula.

Eventually, the rectal urethral fistula was surgically closed and the man was able to recover successfully. According to the doctors who reported this case, it is extremely rare for a urethral catheter to cause a rectal urethral fistula, and it is also rare for semen to leak into the rectum.

Doctors conclude from this case that while placement of a urethral catheter is important in patients who are unable to urinate on their own, it is necessary to pay attention to its complications. He said that not only the well-known ones such as urinary tract infections and bladder damage, but also the potential risks such as the urethral damage and rectal urethral fistula highlighted this time need to be considered. ..