A term used by people of high political status, such as a mayor, a chief, a selectman, a representative, a president, what have you. This term is commonly used to be synonymous with "I have to poop", but this version is used to make conversation less awkward.
Barack Obama leaned over to Vladimir Putin during an interview and said "Pardon me, I have to uuuuh...well, let's just say I should be passing legislation."
When a pregnant, lesbian woman is simultaneously delivering her child and scissoring with another woman and in the midst of this sexual congress the child is passed into the other woman's vagina and back to the biological mother and so forth, oscillating between the two until one of them achieves climax and whatever that woman says is the child's name henceforth.
"So, Fuckmesideways, how did you get your name?" "Oh, my mother was passing the baby when she had me and unfortunately Barbra won. She always regrets losing because she always thought Kyle was such a lovely name..."