MANILA, Philippines (AP)—A video posted on YouTube showing Philippine doctors laughing while removing an object from a patient may lead to charges against the surgeons and cost them their medical licenses, officials said recently.

The unauthorized nearly three-minute video of a noisy operating room shows doctors and nurses laughing, giggling and cheering.

At one point, a hand appears with a cell phone camera taking a close-up picture of the surgery. As a doctor gingerly pulls out the six-inch long canister from the male patient’s rectum, someone shouts, “Baby out!” amid loud cheers. The doctor then removes the canister cap and sprays the contents toward the crowd of nurses and doctors.

It remains unclear who shot the video and who posted it on YouTube, but the person who posted it has removed it from the Web site.

The video has angered the unidentified patient who plans to press charges, said his lawyer Guiller Ceniza.

The government-run Vicente Sotto Memorial Medical Center in the central city of Cebu, where the surgery took place, is conducting an investigation, a spokesman said.

Dr. Emmanuel Gines said more than 10 people were involved—including staff and medical and nursing students from a nearby operating room. He said the hospital takes videos of surgeries of peculiar cases, but only with the consent of the patient.

Dr. Jose Sabili, president of the Philippine Medical Association, told the AP the group will conduct an investigation if a formal complaint is filed and doctors found violating medical ethics could be suspended or expelled from the association, which would result in the suspension or termination of their state health insurance accreditation.

“I believe what they did was very blatant,” he said.

Health Undersecretary Alexander Padilla said the Health Department will conduct a separate investigation.

The 39-year-old patient received surgery on Jan. 3, three days after a New Year’s drinking spree and a “one-night stand” with a male partner, Ceniza told AP.

He said his client was too drunk to remember how the body spray canister ended up in his body.