he had a penis enlargement surgery that had the unfortunate side effect of permanent erectile disfunction.

the ketamine makes him virtually incontinent, he cant piss like a normal person, hes got a swollen inflamed bladder so he has to piss often and sometimes without a “controlled release”

so in the absence of a working dick, and bladder, hes few pleasures are drug abuse, and getting pegged. as confirmed by his ex wife, grimes.