He probably had to have the faulty implant removed so now there’s just a little flap of skin that he pees out of. This would explain why he needs two goons to guard the door whenever he goes to the bathroom. He doesn’t want anyone to see his pee flap.
He probably sends the women to his fertility lab where their eggs are extracted & then fertilized by a magical potion consisting of dried sperm from his holy wank rag & other organisms. Next, the fertilized embryo is implanted in the host womb & 9 months later, voila!
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Never mind, I don’t want to know.