Anal Objects !!HOT!!
Anal masturbation is the erotic self-stimulation of the anus and rectum. For humans, common methods of anal masturbation include manual stimulation of the anal opening, and the insertion of an object or objects. Items inserted may be a body part, such as fingers or a tongue, sex toys such as phallic-shaped items, anal beads, butt plugs, dildos, vibrators, or specially designed prostate massagers, or enemas.
In men, orgasmic function through genitalia depends in part on healthy functioning of the smooth muscles surrounding the prostate, and of the pelvic floor muscles. Anal masturbation can be especially pleasurable for those with a functioning prostate because it often stimulates the area, which also contains sensitive nerve endings. Some men find the quality of their orgasm to be significantly enhanced by the use of a butt plug or other anally inserted item during sexual activity. It is typical for a man to not reach orgasm as a receptive partner solely from anal sex.
Some women also engage in anal masturbation. Alfred Kinsey in "Sexual Behavior in the Human Female" documented that "There still [are] other masturbatory techniques which were regularly or occasionally employed by some 11 percent of the females in the sample ... enemas, and other anal insertions, ... were employed."
Enemas can be used as a form of anal masturbation, as noted above by Kinsey, sexual arousal by enemas being known as klismaphilia, but also, enemas or anal douches can, for hygienic reasons, be taken prior to anal masturbation if desired.
Insertion of foreign objects into the anus is not without dangers. Unsafe anal masturbation methods cause harm and a potential trip to the hospital emergency room. However, anal masturbation can be carried out in greater safety by ensuring that the bowel is emptied before beginning, the anus and rectum are sufficiently lubricated and relaxed throughout, and the inserted object is not of too great a size.
Some anal stimulators are purposely ribbed or have a wave pattern in order to enhance pleasure and simulate intercourse. Stimulating the rectum with a rough-edged object or a finger (for the purposes of medically stimulating a bowel movement or other reasons) may lead to rectum wall tearing, especially if the fingernail is left untrimmed. Vegetables have rough edges and most have microorganisms on the surface, and thus could lead to infection if not sanitized before use.
Minor injuries that cause some bleeding to the rectum pose measurable risk, and often need treatment. Injury can be contained by cessation of anal stimulation at any sign of injury, bleeding, or pain. While minor bleeding may stop of its own accord, individuals with serious injury, clotting problems, or other medical factors could face serious risk and require medical attention.
Butt plugs normally have a flared base to prevent complete insertion and should be carefully sanitized before and after use. Sex toys, including objects for rectal insertion, should not be shared in order to minimize the risk of disease. Objects such as lightbulbs or anything breakable such as glass or wax candles cannot safely be used in anal masturbation, as they may break or shatter, causing highly dangerous medical situations.
Some objects can become lodged above the lower colon and could be seriously difficult to remove. Such foreign bodies should not be allowed to remain in place. Medical help should be sought if the object does not emerge on its own. Immediate assistance is recommended if the object is not a proper rectal toy, like a plug or something soft, for example if it is either too hard, too large, has projections, slightly sharp edges, or if any trace of injury happens (bleeding, pain, cramps). Small objects with dimensions similar to small stools are less likely to become lodged than medium-sized or large objects as they can usually be expelled by forcing a bowel movement. It is always safest if a graspable part of the object remains outside the body.
The biological function of the anus is to expel intestinal gas and feces from the body; therefore, when engaging in anal masturbation, hygiene is important. One may wish to cover butt plugs or other objects with a condom before insertion and then dispose of the condom afterwards. To minimize the potential transfer of germs between sexual partners, there are practices of safe sex recommended by healthcare professionals. Oral or vaginal infection may occur similarly to penile anus-to-mouth or anilingus practices.[need quotation to verify]
Objectives:Identify the common patient and presentation of a patient with a rectal foreign body.Explain the management considerations for patients with rectal foreign bodies.Recall, analyze, and select appropriate evaluation of the potential complications and clinical significance of retained rectal foreign bodies.Identify the importance of improving care coordination amongst the interprofessional team to enhance the delivery of care for patients affected by rectal foreign bodies.Access free multiple choice questions on this topic.
Rectal foreign bodies (RFB) are not new to medical literature. One of the earliest examples of rectal foreign bodies (RFBs) ever reported dates back to the 16 century. RFBs cases are no longer a rare presentation in emergency departments, and their incidence is rising, specifically in urban populations. The average age of presentation is 44 years, and there are more commonly seen in men. Although there are various objects inserted in the rectum, the most common among them are glass bottles (42.2%). There are many reasons for rectal foreign body insertion including, sexual gratification, concealment, as may be the case in body packers, sexual assault, and, rarely, accidental causes, but the most common purpose is autoeroticism due to the increasing use of a different object for anal sex. The time of presentation varies; some people consult emergency services immediately because of their inability to remove the object. At the same time, other patients might take up to two weeks before the presentation due to embarrassment. Even on arrival, such patients often try to conceal the true nature of their presentation to the emergency department. Different techniques have been developed to remove a foreign body from the rectum. The methodology of removal has evolved with technological advancements, including laparoscopy, endoscopy, and minimally invasive surgical alternatives. A review of these procedures, their indications, and complications, along with their clinical significance, will be discussed in this article.
Rectum is the continuation of the sigmoid colon, and it is a tubular structure that begins at the level of S3 and changes into the anal canal at the anorectal hiatus formed by the innermost fibers of puborectalis. It has two major flexure, i.e., sacral and anorectal flexures. It also has three additional lateral flexures. Levator ani muscle provides support to the rectum inferiorly. The fascia of Waldeyer anchors it to the curve of sacrum posteriorly. Laterally, it is supported by the lateral ligaments of the rectum. Denonvillers fascia supports it anteriorly in males and the rectovaginal fascia in the case of females.
The rectum is related posteriorly with sacral plexus and sympathetic trucks. Anteriorly, it is related to the urinary bladder, prostate, seminal vesical, and rectovesical pouch in males and uterus, cervix, vagina, and the pouch of Douglas in females. These sacs contain sigmoid colon and coils of the small intestine. The anal canal is supported by fibromuscular structures, including the perineal body in front and the anococcygeal body from behind.
Any foreign body present in the rectum should be removed promptly. RFBs can be removed by a transanal approach, or sometimes they require an abdominal approach. The transanal approach should be attempted first, and 60% to 75% of the rectal foreign bodies can be removed by this technique. The indications for the transanal approach is that the foreign body is present within 10 cm from the anal verge, and there are no signs and symptoms of peritonitis. Sometimes the patient may require analgesia if the transanal approach is too painful or if the extraction is too difficult due to edema.
Absolute contraindications of transanal approach are peritonitis secondary to rectal perforation, systemic signs of sepsis, investigations showing free gas under the diaphragm on erect CXR, and free fluid in the abdomen.
Relative contraindications of the transanal approach include an object that is not palpable on digital rectal exam, a foreign body which stuck badly due to edema, fragile or sharp foreign body, or an uncooperative patient.
The patient should be seen in a private area to allow for digital manipulation. An abdominal exam is to be performed to look for a rebound, guarding, or a rigid abdomen. If there are peritoneal signs present, patients will require large-bore intravenous access for fluid resuscitation and laboratory studies, including blood count, electrolytes, coagulation panel, and type and screen. The clinician may consider sending a lactic acid if the patient appears septic. In this case, wide-spectrum antibiotics should be administered, which include 3rd generation cephalosporins and metronidazole. An upright chest x-ray may ascertain the presence of free air, which could indicate that perforation has occurred. An abdominal x-ray can be obtained to identify and confirm the presence of a RFB if the object is radio-opaque. Adequate analgesia and possible sedation medications should be available to facilitate manual removal if needed. A conversation about the risks and benefits of the procedures to be performed should occur with the patient to obtain informed patient consent. 041b061a72