Person who has been hit with the ugly stick

Inserting one or both testicles into the anus of another human being.

The state of one who, with their mind in the gutter, unintentionally has given themselves a powerful erection that, upon lack of release and subsequent contraction, shriek in agonizing pain in the state known as "blue balls".

A state of blue balls with an origin rooted in fantasy.

Placing your thumb in a man's ass and cupping/ fondling his balls with your 4 fingers

when you stick you ball sack into a girls pussy.

When someone feels gutted but in a manner that calls for a ground breaking analogous brainwave

When you tittie F a chick with a wide spread gap between her breats. Hence the name gutter (wide spread), Ball (nuts in between).