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
Expletive spoken as a tic from a citizen of South Park with tourette's syndrome. While other residents had boring tics like snapping their fingers and grimacing, this particular man shouts various combinations of "piss come from my ass" in succession.
"Hi how are... p-p-PISS come from my ASSSS!!! Piss... Ass. Piss COME from my ASS!!!!!!!!!! ahem. excuse me, I meant how are you doing? ASS PISS ASSSSSS!!!!"