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A man had to seek medical attention after he began suffering from 'rectal ejaculation'.
Over the course of two years, the 33-year-old noticed a number of peculiar medical issues, including faecal matter in his urine (fecaluria) and passing a 'substantial amount' of urine and semen from his anus.
But after experiencing pain in his testicles for almost a week, he decided to get a doctor's opinion to see what was going on.
According to a paper published in the medical journal Cureus, tests showed that he had a urinary tract infection as well as a problem with his rectal wall.
A CT scan showed that he had a 'gas-filled structure', which further tests revealed was something called a 'fistula' - an abnormal passageway between the man's urethra and rectum.
And it was this connecting tissue that was causing the 'unique' case of rectal passage of semen to occur.
The medial team then got to work finding out the cause of the problem, ruling out possible infections such as tuberculosis, inflammatory bowel disease.
The man also denied having suffered any kind of rectal trauma or penetration, or having undergone any abdominal surgeries in the past.
Eventually, they discovered that he had, however, been in a three-week coma following cocaine and phencyclidine (PCP) intoxication two years previous, which was about the same time that he began noticing the bizarre symptoms.
It was also during this time that he was fitted with a Foley catheter, which doctors believed was the root cause of the injury.
And you'll be pleased to know that they were able to treat the man's condition, performing a 'joint colorectal and urologic surgical fistula repair', which closed the prostatic fistula.
The journal entry says: "Repeat VCUG revealed resolution of the fistula and the patient recovered with only mildly reduced antegrade ejaculatory volume over several months."
In conclusion, the report warned of the complications that can occur with Foley catheters.
It read: "While it serves many uses in patient management, it is essential to stay wary of its complications as well.
"However, physicians should note other potential risks such as urethral injuries.
"This case not only highlights a rare complication of catheter use but also emphasizes the importance of provider mindfulness when utilizing seemingly benign therapies such as Foley catheters."
According to the report, rectourethral fistulas affect roughly 0.5 people per 100,000 every year.
"The majority of adult cases are acquired, while most paediatric cases are due to congenital abnormalities," it explained.
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