The Management of Retained Rectal Foreign Body

Purpose: Because insertion of a foreign body (FB) into the anus is considered a taboo practice, patients with a retained rectal FB may hesitate to obtain medical care, and attending surgeons may lack experience with removing these FBs. We performed this study to evaluate the clinical characteristics of Korean patients with a retained rectal FB and propose management guideline for such cases based on our experience.Methods: We retrospectively investigated 14 patients between January 2006 and December 2018. We assessed demographic features, mechanism of FB insertion, clinical course between diagnosis and management, and outcomes.Results: All patients were male (mean age, 43 years) and presented with low abdominal pain (n = 2), anal bleeding (n = 2), or concern about a retained rectal FB without symptoms (n = 10). FB insertion was most commonly associated with sexual gratification or anal eroticism (n = 11, 78.6%). All patients underwent general anesthesia for anal sphincter relaxation with the exception of 2 who underwent FB removal in the emergency department. FBs were retrieved transanally using a clamp (n = 2), myoma screw (n = 1), clamp application following abdominal wall compression (n = 2), or laparotomy followed by rectosigmoid colon milking (n = 2). Colotomy and primary repair were performed in four patients, and Hartmann operation was performed in one patient with fecal peritonitis. No morbidity or mortality was reported. All patients refused postextraction anorectal functional and anatomical evaluation and psychological counseling.Conclusion: Retained rectal FB is rare; however, colorectal surgeons should be aware of the various methods that can be used for FB retrieval and the therapeutic algorithm applicable in such cases.

Relaxing the straight male anus: Decreasing homohysteria around anal eroticism

This study examines the practice and perception of receptive anal eroticism among 170 heterosexual undergraduate men in a US university. We analyze the social stigmas on men’s anal pleasure through the concept of homohysteria, which describes a cultural myth that the wrongdoing of gender casts homosexual suspicion onto heterosexual men. For men’s anal eroticism, this means that only gay, emasculated or gender deviant men are thought to enjoy anal pleasure. We suggest, however, that decreasing homohysteria has begun to erode this cultural ‘ban’ on anal stimulation for straight men. Our data finds self-identified straight university-aged men questioning cultural narratives that conflate anal receptivity with homosexuality and emasculation. We also show that 24 percent of our respondents have, at least once, received anal pleasure. These results suggest that cultural taboos around men’s anal pleasure may be shifting for younger men and the boundaries of straight identity expanding. We call for further research to clarify how anal erotic norms are shifting among men of different racial, geographic, socioeconomic, and age demographics, and to determine how these shifts may foster more pluralistic and inclusive views of gender and sexuality.

The front lines of the “back door”: Navigating (dis)engagement, coercion, and pleasure in women’s anal sex experiences

Despite the frequent depiction of heterosexual anal sex in pornography, and growing indications that heterosexual couples engage in anal sex, almost no research has examined women’s subjective experiences with receptive anal sex with men. This study draws upon qualitative interviews with 20 American women (mean age = 34, SD = 13.35) from diverse ages and backgrounds to illuminate five themes in women’s narratives about receptive anal sex: (1) initial resistance followed by submission; (2) initial interest followed by withdrawal from subsequent anal sex experiences; (3) violence and coercion surrounding anal sex; (4) social norming (e.g. men’s male friends normalizing heterosexual anal sex; seeing anal sex as normative after watching pornography); and (5) pleasurable experiences with anal eroticism. Implications for the re-evaluation of consent, imagining a continuum of sexualized violence, heteronormative assumptions about access to and power over women, silences surrounding non-penetrative anal eroticism, and women’s (dis)engagement with anal sex are explored.

The Anal-Erotic Factor in Hindus and Muslims: An Empirical Examination of Berkeley-Hill's Hypothesis

A claim, derived from psychoanalytic theory, which postulates that the religion, philosophy, and personality of Hindus are related to anal-erotic impulses, was examined. English college students (48 Hindus, 97 Muslims, 63 Protestants, and 54 of other religions) were administered a questionnaire on anal personality traits. Mean scores for each group were computed and comparisons drawn between groups. Both Hindu and Muslim religious groups displayed significantly more anal personality traits than did the Protestants and the ‘other religions’ group. Further, similar item endorsements were found for the Hindu and Muslim groups. The hypothesized claim relating Hindus and anal-eroticism was accepted.

Pregenital Fixation and Perceptual Distortions to Conflict-Laden Material

Three standard questionnaire measures of oral and anal fixation were administered to 142 students. On the basis of their scores 26 students were selected and shown tachistoscopic exposures of pictures designed to activate oral or anal conflicts. Five subjects in each group had extremely high scores on the corresponding measure of fixation, five had extremely low scores, and 16 had intermediate scores. It was hypothesised that individuals who were fixated at one or other of the psychosexual stages would show stereotyped perceptual distortions to repeated dim exposures of the corresponding picture. Highly fixated subjects showed significantly more deviant responses than did subjects who showed low levels of fixation at the same stage. A form of Q-factor analysis indicated that subjects who were fixated at the oral sadistic or anal stages showed different patterns of perceptual distortions to the anal picture than those who were not fixated. These results were interpreted as supporting the link between defenses against anal eroticism and the anal character.