As part of our survey of sexual practices, men were asked if they performed urethral sounding for sexual gratification. We recently completed a cross-sectional internet-based survey of urinary and sexual wellness of over 2000 men who have sex with men (MSM). A better understanding of risk-taking behaviours that may be more prevalent in people who engage in recreational sounding would be valuable for the practitioner who treats these patients. Relatively little is known about the prevalence of sounding in the general population and whether it is associated with additional health risks beyond those that would prompt immediate medical consultation (e.g. The majority of the medical literature on urethral sounding is based on case reports of individuals who experienced harm from this practice. Some patients may repeatedly self-injure themselves with foreign bodies to derive gratification from repeated healthcare encounters, much to the frustration and inconvenience of their providers. Given the variability in the technique and type of devices used, recreational sounding carries substantial risk of loss of foreign body, UTI, urethral stricture and healthcare expenditures. Whereas sounding for medical treatment typically involves the use of sterile metal or plastic dilators, a variety of objects and liquids may be used for the purpose of recreational sounding. A recent Google™ search of the phrase ‘urethral sounding’ produced over 550 000 results, many of them pertaining to recreational sounding and complete with instructions and diagrams on the procedure. Insertion of objects into the urethra has been associated with accidents as well as a variety of psychological illnesses, but the most common reason reported in the medical literature for deliberate urethral insertion is erotic gratification. Urethral sounding is also performed outside the scope of medical practice by individuals for a variety of reasons. Sounding may be used in urological surgery for dilatation of strictures or for obtaining access to the bladder. Urethral sounding is the insertion of an object or liquid into the urethra. Sexual activities that may be erotic to one individual may be abhorrent to another therefore, an individualized approach to assessment and treatment of sexual problems, tailored to the patient’s unique circumstances, is required for the provision of effective sexual health services.
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