A 30-second clip from a scrapped video Lady Gaga didn't want fans to see has been leaked online.
The singer released the single Do What U Want with R Kelly last year and the duo performed a saucy live rendition during a November appearance on the American Music Awards.
But in January, the Poker Face singer reached out to fans to apologise for the video delay, insisting she wasn't satisfied with the film because she was only given a week to "plan and execute" her ideas for the shoot.
Gaga added she had been "betrayed" by those who had "gravely mismanaged my time and health and left me on my own to damage control any problems that ensued".
Now, six months later, footage from the explicit video has surfaced on entertainment website TMZ.
In one clip, Gaga is pictured as a patient, lying naked under a white sheet on a hospital bed, with Kelly posing as her surgeon.
She moans and writhes as he touches her body under the sheet.
Other scenes feature Gaga rolling around topless on the floor with ripped up magazine pages, cupping her breasts in her hands and pretending to hump the ground.
The video was scrapped, probably because, as a source for The New York Post noted, "Gaga had a video directed by an alleged sexual predator, starring another sexual predator. With the theme, 'I'm going to do whatever I want with your body?' It was literally an ad for rape."
The video's existence sparked controversy as critics, including the feminist site Jezebel, pointed to R Kelly's alleged criminal history.
The singer was acquitted in 2008 of accusations he filmed sex with a 13-year-old girl.
Meanwhile, the clip was directed by controversial photographer Terry Richardson, who also makes an appearance in the promo, and has been the subject of allegations he sexually harassed models.
He has strongly denied the claims, insisting they were an "emotionally-charged witch hunt".