"Kitty Kum" may be a specific username or persona within niche content circles. In this context, "anal patched" could refer to a technical update to a digital 3D model or a specific video edit. Pet Care or Veterinary Medicine (Highly Unlikely):

: It's also possible that "kitty kum anal patched" has become an inside joke or a meme within certain online communities. This would imply that the phrase holds a specific meaning or significance for those in the know, but may not be immediately understandable to outsiders.