When you're taking a shit after days of constipation, and the density and velocity of the exiting fecal matter tears the anal tissue to the point that a suture must be used to repair the flesh
Oh man, I housed those cheese curds a few days ago - and of course I'd rim-out right before my date. Good thing she's a nurse!
by RooSing August 01, 2016
by RooSing June 09, 2023