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piss out my ass 

piss out my ass a bad case of diarrhea when you take a dump and it comes out like piss
i ate some rancid food last night and i could not do anything except piss out my ass all day and night
piss out my ass by littlejimmie March 10, 2019

piss out my ass 

a phrase repeated again and again in the popular TV show South Park - where one of the character's tourette's tick is repeatedly screaming variations of "piss out my ass!"

also, when the character is screaming a variation of this phrase, he will turn his head to the side and cover his mouth.
ass...ass!!! piss, the ass!!
ass pissss!! peeiissss!
ass??? piss in the ASS!!!
peeeeiiiiissss coming from my aaeeeeiiiassss!!!!!!
piss....pissss!! piss out my aeeeasss......PISS OUT MY ASS!

Piss In My Ass 

An expression of great displeasure upon an upsetting circumstance
Dan: Hey Rob, I think your fly is undone

Rob: Oh piss, piss in my ass
Piss In My Ass by Dan H LZHS February 18, 2008

piss out my ass 

in one episode of south park, le petit tourette, there is a character that repeats the phrase piss out my ass and piss in the ass. this is followed by numerous recitations of the word piss and ass
piss.....ass....piss out my ass
piss out my ass by zzoldan January 13, 2008

I wouldn't piss up your ass if your guts were on fire. 

The ultimate FUCK YOU.
I would rather watch you die from internal hellfire, rather than extinguish your flaming innards with my urine.
Suzie: Hey man you are a fucking dick, why do you treat everyone like shit?

Balls Hampton: Fuck you bitch! I wouldn't piss up your ass if your guts were on fire.

Suzie: Weeps uncontrollably

Piss in her ass 

The act of having sex with a woman and showing appreciation by urinating in her anus.
R. Kelly pissed in her ass after hours of mindless children sex.
Piss in her ass by Wigg January 19, 2004