A man ejaculated out of his anus and urinated faeces after developing a rare condition that effects around five in one million people.

The 33-year-old, from Texas, ignored the symptoms for two years before deciding to seek medical help due to suffering testicle pain for five days.

He told doctors he had passed a ‘substantial amount’ of semen and urine from his anus over the last two years.

He also complained of fecaluria — the presence of faecal matter in the urine. 

Doctors discovered he had an abnormal connection between his prostate and rectum that was causing his semen to come out of an unexpected orifice.

His condition was so unusual they wrote about their findings in a paper called ‘A Curious Case of Rectal Ejaculation’, which was published in the journal Cureus.

The medics said the man’s condition — a rectal-prostate fistula — is generally caused by surgery or inflammatory conditions such as Crohn’s.

It is a very rare condition that effects around five in one million people per year – the equivalent of about 300 Brits.

Doctors said common symptoms include blood and feaces in urine, as well as Urinary Tract Infections (UTIs).

But the team, from the University of Texas, noted that passing sperm through the bottom is ‘rare’. 

The man, who was also suffering from a swollen left testicle and UTI, said he had not undergone any surgery or suffered rectal trauma.

Extensive tests were carried out to rule out tuberculosis and inflammatory bowel disease.

Doctors examined the man’s medical records and discovered he had a history of illicit drug use.

They pinned the problem on him having a catheter inserted two years earlier, while he spent three weeks in a coma after taking cocaine and phencyclidine.

A catheter is a flexible tube used to empty the bladder and collect urine, and doctors believe his was inserted incorrectly.

This caused the balloon part to blow up too early, leaving the patient with a tunnel linking his prostate and rectum.

The man was given medicine to treat his swollen testicle and a surgical fistula repair was performed. 

Surgeons used part of his rectal wall to create a ‘flap’ to close the tunnel.  

They said that if he had not come forward for treatment, he could have suffered from recurring UTIs, kidney infection and life-threatening sepsis.

The medics said the case is a warning to doctors that there can be rare complications after using a catheter.

They emphasised ‘the importance of provider mindfulness when utilising seemingly benign therapies’, such as catheters.

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