From what I can tell, this is not a joke. By using a "strap-on" Wii remote, females can use realistic fluid dynamics to shoot urine into various toilets. Get too much on the floor and your game is over. The game is called Super Pii Pii Brothers and it's like the next Guitar Hero ... if Guitar Hero involved bodily functions and genital accessories.
(Via Reddit and ThinkGeek)
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It's a fake unfortunately (click to add it to your cart on the site). That said, I think I'm gonna make a strap like that so I can try playing all my Wii games like that.
It would appear the joke is on me. However, I seriously think there could be a market for this type of item.