A man sought medical help after he started to experience a bizarre phenomenon with his bum and genitals.
The man, 33, realized that something was seriously wrong when he began to defecate from his penis and ejaculate from his anus, Indy100 reports.
However, it took two years for the man to seek out medical help.
News of the man's condition was revealed in the research article titled "A Curious Case of Rectal Ejaculation", which was published by US scientists last month.
It reads: "A 33-year-old male with a history of illicit drug use presented with five days of testicular pain. He also noted a substantial amount of urine and sperm passage from his rectum in addition to pneumaturia and fecaluria for the past two years."
Pneumaturia and fecaluria are conditions that cause gas and feces in urine.
To begin with, doctors had to rule out a number of other conditions including tuberculosis and inflammatory bowel disease.
When the man's urine was examined, it was revealed that he had a UTI, and a CT scan showed swelling in his left testicular tube and a "gas-filled structure" in his prostate, which was responsible for his rectal issues.
Scientists concluded that the gas-filled structure was "chronic appearing rectal-prostate fistula", and they were able to confirm their hypothesis with a voiding cystourethrogram (VCUG), a special type of x-ray.
The article revealed that the man had been in a three-week comatose state as a result of intoxication with cocaine and phencyclidine, a hallucinogenic drug.
The researchers explained that they had to use a catheter when he was hospitalized and this caused "significant trauma".
But despite the extreme symptoms experienced by the man, all that was required to solve the problem was a simple surgical procedure known as a "joint colorectal and urologic surgical fistula repair."
The man "recovered with only mildly reduced antegrade ejaculatory volume over several months."
The article said that rectourethral fistulas are incredibly rare, and they affect just 0.5 in every 100,000 people every year.
"The majority of adult cases are acquired, while most pediatric cases are due to congenital abnormalities," it explained.
