I think sweet Michael needs to be tried, convicted and thrown into the general population at a very tough prison for life. Ole Michael may not be able to sit down properly for years.
About 15 years ago this old boy shot the man who molested his son live on tv in front of a dozen cops. Caught him as he was being brought back from another state where he ran off to. He was tried and found not guilty. It was ruled by the people of the soveriegn state of Louisiana as a justifiable homicide.
Years? I doubt he'd be that lucky, given the scenario you propose. I've heard of a case where a prisoner actually needed surgery to repair to ol' rectal sphincter muscle. The surgical procedure was not successful (he just got ripped up again, most likely) - so the prisoner got to wear Depends for the rest of his life. He committed suicide in prison, IIRC.
You must admit, for a guy with such a penchant for plastic surgery, such a fate seems exceptionally fitting.