Rare medical conditions cause man to urinate faeces

·2-min read

A 33-year-old man has been diagnosed with several rare conditions after experiencing increasingly strange medical issues – including passing stool through his penis and semen through his anus.

The man sought help for the painful symptoms, which also included passing gas in his urine – a condition called pneumaturia.

He also said he had passed a “substantial amount” of urine and semen from his bottom, and urinated faecal matter – called fecaluria.

The bizarre symptoms were investigated by a team of medical researchers who have published their finds in Cureus, a medical journal.

A CT scan of a gas-filled structure within the posterior aspect of the prostate. Source: Jam Press/Australscope
A CT scan demonstrating gas-filled structure within the posterior aspect of the prostate communicating with the adjacent rectum. Source: Jam Press/Australscope

The group was led by Frank L. Ventura, a medical student at Internal Medicine, University of Texas Medical Branch in Galveston.

In the study, they found the man had a swollen testicle and a urinary tract infection (UTI), while a digital rectal examination found signs of a problem on his rectal wall.

The man had a CT scan which found a “gas-filled structure”, and further tests confirmed he had an abnormal passageway (called a fistula) between his urethra and rectum – through which fluids and solids had been passing.

Images of the scan show the gas-filled structure and evidence of the fistula.

He underwent surgery to correct the issue – which the medical team surmised was a result of an injury caused by a Foley catheter.

The man had been in a coma for three weeks two years prior to the issues, following cocaine and phencyclidine (PCP) intoxication – after which he was fitted with the catheter.


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