A História do Conceito Onanismo na Psiquiatria dos Séculos XVIII e XIX (Parte 1) / History of the Concept Onanism in Psychiatry in the 18th and 19th centuries (Part 1) / Historia del Concepto Onanismo en La Psiquiatría de los Siglos XVIII y XIX (Parte 1)

O presente estudo pretende retomar a história do conceito de masturbação com foco em como ele se desdobrou de um conceito fundamental para a medicina geral para, posteriormente, um conceito importante no contexto dos primeiros estudos médicos e psicológicos sobre sexualidade humana, principalmente os estudos das perversões sexuais, principal campo explorado no final do século XIX e início do século XX. O artigo, primeira parte de um estudo divido em duas partes, pretende contemplar como se deu a ascensão e decadência dos estudos sobre a masturbação na medicina, partindo do surgimento do conceito onanismo e seguindo por meados do século XIX, quando ambos os conceitos se tornaram importantes dentro dos estudos das perversões sexuais. O ponto de desfecho é a obra de Albert Moll, famoso psiquiatra alemão e um dos pioneiros entre os teóricos da sexualidade humana a questionar abertamente a relevância do conceito de masturbação dentro das teorias da sexualidade. (AU)

This study intends to resume the history of the concept of masturbation with the focus on how it unfolded from a fundamental concept for general medicine to a later important concept in the context of the first medical and psychological studies of human sexuality, especially studies of sexual perversions, the main field explored in the late 19th and early 20th centuries. The article, first part of a two-part study, intends to contemplate how the rise and decline of studies on masturbation in medicine took place, starting from the emergence of the concept of onanism and following through mid XIX century, when both concepts became important within the study of sexual perversions. The final point of this article is the work of Albert Moll, a famous German psychiatrist and one of the pioneers among human sexuality theorists to openly question the relevance of the concept of masturbation within the theories of sexuality. (AU)

Este estudio pretende retomar la historia del concepto de masturbación con el foco en cómo se desdobló desde un concepto fundamental para la medicina general para, posteriormente, un concepto importante en el contexto de los primeros estudios médicos y psicológicos de la sexualidad humana, principalmente estudios de perversiones sexuales, el campo principal explorado a finales del siglo XIX y principios del XX. El artículo, primera parte de un estudio dividido en dos, pretende contemplar cómo se produjo el auge y declive de los estudios sobre la masturbación en medicina, a partir del surgimiento del concepto de onanismo y siguiendo a mediados del siglo XIX, cuando ambos conceptos son importantes en el estudio de las perversiones sexuales. El punto final es la obra de Albert Moll, un famoso psiquiatra alemán y uno de los pioneros entre los teóricos de la sexualidad humana que cuestiona abiertamente la relevancia del concepto de masturbación dentro de las teorías de la sexualidad. (AU)

Pornografía y Masculinidades en Tiempos de COVID-19 / Pornography and Masculinities in Times of COVID-19

En la sociedad actual, narcisista y del rendimiento, predomina la sobreexigencia, que se manifiesta en todos los campos, incluidas la sexualidad y la experiencia erótica: no importa cómo, hay que rendir al máximo. Y esto determina una "polisexualidad mercantil", que supone un ejercicio compulsivo de la sexualidad, con el mandato de disfrute extremo. En este contexto actual de pandemia por COVID-19, se realizó una investigación exploratoria acerca de las masculinidades y la pornografía, durante los meses de Julio a Octubre de 2020 a varones latinoamericanos de entre 25 y 45 años. Actualmente el encuentro con el otro resulta muy difícil, y como el material pornográfico no requiere de ningún esfuerzo y está a la mano en cualquier dispositivo con internet, esto da rienda suelta a la inercia de la repetición, que resulta muy difícil de abandonar. Presentaremos en este artículo el posicionamiento de varones frente a la pornografía en el marco del COVID-19(AU)

In today's performance and narcissistic society, over-demand prevails, manifesting itself in all fields, including sexuality and erotic experience: no matter how, you have to perform at your best. And this determines a "commercial polysexuality", which supposes a compulsive exercise of sexuality, with the mandate of extreme enjoyment. In this current context of a COVID-19 pandemic, an exploratory research on masculinities and pornography was carried out during the months of July to October 2020 to Latin American men between 25 and 45 years old. Currently the encounter with the other is very difficult, andresulta muy difícil de abandonar. Presentaremos en este artículo el posicionamiento de varones frente a la pornografía en el marco del COVID-19. since pornographic material does not require any effort and is at hand on any device with internet, this gives free rein to the inertia of repetition, which is very difficult to abandon. We will present in this article the position of men in the face of pornography in the framework of COVID-19(AU)

Una mirada a la masturbación femenina: estudio descriptivo transversal en mujeres universitarias del área metropolitana de Bucaramanga, Colombia / A look at female masturbation: descriptive cross-sectional study in university women of the metropolitan area of Bucaramanga, Colombia

Resumen Introducción. La masturbación es un tema que encierra múltiples mensajes, tanto culturales negativos como sexológicos positivos. Esta diversidad es una ventana para explorar la sexualidad femenina. Objetivo. Establecer la prevalencia de masturbación en estudiantes universitarias del área metropolitana de Bucaramanga, Colombia. Materiales y métodos. Estudio descriptivo transversal con cuestionario de autorreporte. Se realizó análisis descriptivo e inferencial con nivel de significancia de p<0.05. Resultados. Se encuestaron 1 039 mujeres (edad mediana: 20, RIC: 4). La prevalencia de masturbación fue del 32.2%; de ellas, solo el 73.1% llegaba al orgasmo por esta estimulación. 1 de cada 3 mujeres que se no se masturba reportó incapacidad para alcanzar el orgasmo. La masturbación fue más frecuente en mujeres >35, de estratos socioeconómicos altos, no religiosas o católicas con poco o nulo nivel de religiosidad, que estudian, trabajan como independiente y se autoidentifican como bisexuales. Conclusiones. 1 de cada 3 mujeres que no refiere masturbarse reporta disfunción orgásmica; de esta forma, las actividades masturbatorias son un factor protector de la disfunción. Es importante realizar educación desde la autoexploración para que la mujer pueda conocerse y disfrutar plenamente de su sexualidad.

Abstract Introduction: Masturbation is a topic that contains multiple messages, both culturally negative and positive for sexology. This diversity becomes a window to explore female sexuality. Objective: To establish the prevalence of female masturbation among university students from the metropolitan area ofBucaramanga, Colombia. Materials and methods: Descriptive cross-sectional study using a self-report questionnaire. Descriptive and inferential analysis was performed finding a significance level of p<0.05. Results: 1 039 women were surveyed (median age: 20, IQR: 4). The prevalence ofmasturbation was 32.2%, of which only 73.1% reached orgasm through this stimulation. 1 in 3 women who do not masturbate reported anorgasmia. Masturbation was more frequent in women >35 years of age, from high socioeconomic status, non-religious or Catholic with little or no religiousness, who study, work independently and self-identify as bisexual. Conclusions: 1 in 3 women who claim that they do not masturbate reported orgasmic dysfunction; therefore, masturbatory activities are a protective factor for the dysfunction. Providing self-exploration education is important so that women can get to know their body and fully enjoy their sexuality.

O gozo da insatisfação na relação sexual / The enjoyment of dissatisfaction with sexual intercourse

O gozo feminino é considerado por Lacan como Outro em relação ao do homem. Em todo caso, este gozo é difícil de ser discernido, ainda mais que ele pode, como nos mostra a clínica, ser facilmente simulado por uma mulher. Mas por que uma mulher se coloca na posição de simular um orgasmo? O que está em jogo para ela nessa prática? Tentaremos mostrar que a simulação não é apenas sinônimo de frigidez. Não que ela não o possa ser, mas a simulação é também fonte de prazer para uma mulher e, de forma pardoxal, algo capaz de favorecer o "encontro" com o outro.

The enjoyment of the dissatisfaction in the sexual relationship. The feminine enjoyment is considered by Lacan, as "Other", compared to the enjoyment of the man. Anyway, it is difficult to enclose, especially since enjoyment can be, as shown by the clinic, easily simulated by a woman. But why does a woman put herself in the position of simulating the orgasm? What are the stakes of this practice? We would try to show that faking orgasm is not only a synonymous of frigidity. It could be, of course, but it is also a spring of pleasure for a woman and, paradoxically, an expedient capable of making possible the "gathering" with the other.

Fantasia e pornografia: transformações do desejo em tempos atuais / Phantasy and pornography: transformations of desire in the present times / Fantasía y pornografía: transformaciones del deseo en tiempos actuales

O autor abordará o fenômeno atual do sexo virtual, que cada vez mais faz parte da nossa sexualidade, em todas as idades, influenciando, moldando e sendo moldado por nossas fantasias sexuais. Ser capaz de criar uma relação analítica a dois em que esse tipo de estado mental autoerótico, com frequência dissociado, pudesse ser partilhado e colocado em palavras seria crucial para personalidades inibidas, retraídas e autísticas, mas é também importante como instrumento para investigar relações internas de objeto de nossos pacientes em geral.

The author will address the present day phenomena of virtual sex that is increasingly part of our sexuality at all ages, influencing and shaping and being shaped by our sexual fantasies. Being able to co-create an analytic relation where such an autoerotic often dissociated mental state could be shared and worded could be crucial for inhibited, retired, autistic personalities but it's also important as a tool to explore internal object relations of our patients in general.

El autor abordará el fenómeno actual del sexo virtual que, cada vez más, forma parte de nuestra sexualidad, en todas las edades, influyendo, moldeando y siendo moldeado por nuestras fantasías sexuales. Ser capaz de crear una relación analítica a dos en la que este tipo de estado mental autoerótico, con frecuencia disociado, pudiera ser compartido y expresado con palabras sería crucial para personalidades inhibidas, retraídas y autísticas, pero es importante también como instrumento para investigar las relaciones internas de objeto de nuestros pacientes en general.

La gimnástica como dispositivo antionanista en la conformación de la educación física escolar en el siglo xix en España: el nacimiento de una disciplina escolar / A ginástica como dispositivo antionanista na conformação da educação física escolar do século xix na Espanha: o nascimento de uma disciplina escolar / Gymnastics as an anti-onanistic tool in shaping school physical education in 19th-century Spain: the birth of a school disciplin

Este artículo complementa uno anterior publicado en esta revista (v. 21, n. 4, oct./dic. 2015). A partir de la revisión y análisis de contenido de la materia médica, pedagógica y gimnástica publicada en España en el siglo XIX, verificamos que la prescripción facultativa de la gimnástica constituyó el núcleo de la política preventiva y terapéutica contra la masturbación infantil. Dicha política –disciplinaria y normalizadora según el modelo centroeuropeo– fue asumida paulatinamente por los establecimientos escolares que concedieron un tiempo y un espacio regulares a la práctica gimnástica. Ésta, una vez desprendida de los elementos ideológicos y morales más controvertidos del adoctrinamiento del cuerpo, acabaría conformando la educación física escolar que conocemos.

This paper follows up on an earlier work published in this journal (v. 21, no. 4, Oct./Dec. 2015). By reviewing and analyzing the content of medical, pedagogic and gymnastic material published in Spain in the 19th century, we established that medical prescription of gymnastics was the core of preventative and therapeutic policies against child masturbation. That disciplinary and normalizing policy based on the Central European model was gradually adopted by school establishments that dedicated regular time and space to the practice of gymnastics. Once it separated itself from the most controversial ideological and moral elements of body indoctrination, gymnastics became the Physical Education found in schools today.

Este artigo complementa um anterior publicado nesta mesma revista (v. 21, n. 4, out./dez. 2015). A partir da revisão e análise de material médico, educacional e ginástico publicado na Espanha no século XIX, verificou-se que a prescrição de ginástica foi o centro da política preventiva e terapêutica contra a masturbação das crianças. Essa política – disciplinar e de normalização de acordo com o modelo centro-europeu – foi gradualmente assumida pelas escolas, que concederam um tempo e um espaço regular na prática da ginástica. Esta, depois de afastada dos elementos mais controversos da doutrinação ideológica e moral do corpo, acabaria constituindo a Educação Física Escolar que conhecemos.

La gimnástica como dispositivo antionanista en la conformación de la educación física Escolar en el siglo xix en España: recepción del discurso / A ginástica como dispositivo antionanista na conformação da educação física escolar do século xix na Espanha: recepção do discurso / Gymnastics as an anti-onanistic tool in shaping school physical education in 19th century Spain: discourse reception

Los discursos higiénicos sanitarios del siglo XIX hicieron de la masturbación una enfermedad cuyos efectos se relacionaron desde muy pronto con la degeneración social. Algunos estudios han puesto en relieve esta relación como condicionante de las ideas pedagógicas al destacar la importancia de la gimnástica como práctica antionanista para la infancia. No obstante, ninguna investigación ha considerado la trascendencia de dicha práctica como dispositivo en la conformación de la educación física escolar. Este artículo es parte de una investigación genealógica más amplia sobre la influencia de la cruzada antionanista en la institucionalización de la educación física en la España del siglo XIX.

Nineteen-century hygienist-health discourses referred to masturbation as an illness whose effects were related to social degeneration since early life. Some studies have highlighted that relation as a factor that conditioned pedagogic ideas by pointing out gymnastics’ popularity as an anti-onanistic practice in childhood. However, no research has considered the importance of that practice as an instrument in the shaping of school Physical Education. This article is based on a more extensive genealogical research about the anti-onanist crusade influence in the institutionalization of Physical Education in Spain during the nineteenth century. The article is part of broader genealogical research about the anti-onanistic crusade in institutionalization of Physical Education in nineteencentury Spain.

O discurso médico do século XIX fez da masturbação uma doença cujos efeitos foram associados muito cedo com a degeneração social. Alguns estudos têm destacado essa relação como uma condição das ideias pedagógicas, enfatizando a importância da ginástica como prática antionanista para crianças. No entanto, nenhuma pesquisa considerou a importância dessa prática como um dispositivo para a formação da Educação Física Escolar. Este artigo é parte de uma pesquisa genealógica mais ampla sobre a influência da cruzada antionanista na institucionalização da Educação Física no século XIX na Espanha. Nele, podemos descrever e analisar a recepção da ideologia educacional da Europa central e do sul.

Successful Removal of an Intravesical Electrical Wire Cable

A few previous reports have described cases wherein electrical wire cables were inserted into the male urethra and bladder. Electrical wire cables are available at home and are easy to insert. However, after they coil in the patient's bladder, they are difficult to remove. In February 2013, a 30-year-old man presented to the emergency room of SMG-SNU Boramae Medical Center with a urethral foreign body. He had inserted an electrical wire cable into his urethra for the purpose of masturbation, despite having a regular sex partner and no underlying disease. A kidney-ureter-bladder radiography showed a tangled wire in his bladder and urethra. On the next day, we tried to remove the wire cystoscopically, but this proved to be impossible because of complex coiling and the slippery surface of the wire. A Pfannenstiel incision was made to remove the foreign body. No postoperative complications were noted.

Successful Removal of an Intravesical Electrical Wire Cable

A few previous reports have described cases wherein electrical wire cables were inserted into the male urethra and bladder. Electrical wire cables are available at home and are easy to insert. However, after they coil in the patient's bladder, they are difficult to remove. In February 2013, a 30-year-old man presented to the emergency room of SMG-SNU Boramae Medical Center with a urethral foreign body. He had inserted an electrical wire cable into his urethra for the purpose of masturbation, despite having a regular sex partner and no underlying disease. A kidney-ureter-bladder radiography showed a tangled wire in his bladder and urethra. On the next day, we tried to remove the wire cystoscopically, but this proved to be impossible because of complex coiling and the slippery surface of the wire. A Pfannenstiel incision was made to remove the foreign body. No postoperative complications were noted.

Association between time-to-ej aculation and the quality of semen obtained by masturbation / 国际检验医学杂志

Objective To investigate the association between the length of time-to-ejaculation and the quality of semen obtained by masturbation.Methods Ejaculates from 284 men under infertility assessment were analyzed according to World Health Organi-zation guidelines.Seminal neutralα-glucosidase (NAG)、zinc(Zn)and fructose(FRU)were also measured.All patients were divid-ed into three groups according to the length of time-to-ejaculation,including group A with time-to-ejaculation not more than 10 min, group B with time-to-ejaculation of 11-15 min and group C with time-to-ejaculation more than 15 min.Statistical analysis was per-formed.Results Time-to-ejaculation was negatively correlated with sperm concentration (r= -0.20,P= 0.02),total sperm count (r= -0.20,P= 0.04),NAG (r= -0.20,P= 0.01),total count of progressive motility (r= -0.40,P= 0.03)and fructose (r=-0.30,P= 0.02),respectively,but not correlated with age,sexual abstinence,semen volume,sperm motility and Zinc.Sperm con-centration,total sperm count and total count of progressive motility in were higher than group B and C (P<0.05),and fructose was higher than group C (P<0.05).Conclusion Time-to-ejaculation might be associated with semen parameters.Acute stress during semen collection via masturbation at a clinic could infect the quality of semen.

Coleta de esperma infértil em laboratório: prática médica ou sexual? / Infertile sperm collection in hospital laboratories: sexual or medical practice?

Os protocolos de assistência médica à procriação comportam um exame biológico do esperma, realizado graças à masturbação praticada em locais inadequados para uma prática geralmente considerada erótica. Realizou-se investigação etnográfica em dois grandes hospitais parisienses. Os homens e as mulheres que participaram manifestaram reações subjetivas, associando constrangimento, vergonha, desagrado e nojo diante da prática da masturbação nesse contexto. A confusão entre os registros médico e sexual, as dificuldades para des-sexualizar uma prática que permanece como tabu e a natureza estéril do esperma produzido nessas circunstâncias seriam a causa das reações emocionais experimentadas em relação ao esperma, quando este é produzido no contexto médico.

The protocols of medical assistance to procreation involve a biological examination of sperm, conducted through masturbation practiced in inappropriate places for a practice generally considered erotic. We conducted ethnographic research in two major Parisian hospitals. The men and women who participated expressed subjective reactions, involving embarrassment, shame, disgust and disgust on the practice of masturbation in this context. The confusion between the medical and sexual records, difficulty in de-sexualize a practice that remains taboo, and the sterile nature of sperm produced in such circumstances would be the cause of emotional reactions experienced in relation to sperm when it is produced in the medical context.

Perfil da sexualidade feminina em universitárias de um curso de medicina de Santa Catarina / Profile of female sexuality in medicine students from a course of Santa Catarina

Introdução: A sexualidade é uma das dimensões do ser humano que envolve gênero, identidade, orientação sexual, erotismo, envolvimento emocional, reprodução e relacionamentos. Objetivo: Caracterizar o perfil da sexualidade feminina em estudantes de curso de medicina. Métodos: Estudo transversal, onde foi utilizado um questionário, para avaliar as características da sexualidade feminina em estudantes do Curso de Medicina da Universidade do Sul de Santa Catarina. Resultados: Obteve-se as respostas de 82,75% da população total de alunas matriculadas no primeiro semestre do ano de 2010. Com relação às informações sexuais recebidas, apenas 0,9% das estudantes disseram que pode influenciar negativamente na sua satisfação sexual. Os contraceptivos orais foram os mais utilizados em 57,5%. As mulheres que relataram preocupação do parceiro em fazê-las ter orgasmos atingiram o dobro de orgasmos comparados as que não, e 59,2% das estudantes chegam bastante ao orgasmo. Conclusão: A sexualidade feminina é algo individual e depende de cada personalidade, apesar de algumas características serem comuns à várias mulheres. A mulher deve ser incentivada a se descobrir para desvendar seus desejos, fantasias, seus locais de maiores estímulos sexuais, o como chegar ao orgasmo entre outros. A conversa com o parceiro demonstrou grande importância, pois se concluiu o valor da intimidade como motivação feminina para o sexo.

Introduction: Sexuality is one of the dimensions of the human being that involves gender identity, sexual orientation, eroticism, emotional involvement, reproduction and relationships. Objective: To characterize the profile of female sexuality in students of a medical school. Methods: A cross-sectional study where a questionnaire was used to evaluate the characteristics of female sexuality among students of Medical School of the University of South Santa Catarina. Results: We obtained the answers from 82.75% of the total population of students enrolled in the first half of 2010. With respect to the sex information received only 0.9% of students say may negatively influence their sexual satisfaction. Oral contraceptives were the most used in 57.5%. Women who reported concern about the partner get them to orgasms were twice as many orgasms compared to those who do no, and 59.2% of students get enough to orgasm. Conclusion: There is a recipe to be followed on female sexuality, because that is individual and depends on each person, although some features are common to many women. The woman should be encouraged to discover to uncover your desires, fantasies, their places of greatest sexual stimuli, as the orgasm among others. The conversation with the partner showed great importance because it appears the value of intimacy as motivation for the femalesex.

Culpabilidad sexual en jóvenes: influencia de las actitudes y la experiencia sexual / Sexual guilt in youngsters: the influence of attitudes and sexual experience

La culpabilidad sexual es un factor determinante de la conducta sexual. El objetivo del presente estudio fue analizar la culpabilidad sexual en una muestra de 594 jóvenes salvadoreños con edades comprendidas entre 14 y 18 años, seleccionados mediante un procedimiento no aleatorio, con el propósito de determinar la influencia que sobre la misma tienen una serie de variables sociodemográficas y de actitudes hacia la sexualidad. Los participantes contestaron el Inventario de Culpabilidad Sexual Revisado de Mosher, la Escala de Opinión Sexual, la Escala Hurlbert de Fantasías Sexuales y el Inventario de Actitudes Negativas hacia la Masturbación. Los resultados del análisis de regresión múltiple mostraron que la culpabilidad sexual está determinada, entre otros factores, por las actitudes hacia las fantasías sexuales, la erotofilia, las actitudes negativas hacia la masturbación y por la experiencia sexual en este orden, siendo más importantes las variables actitudinales que las sociodemográficas. Los resultados de estudios como éste sirven para analizar el papel de la culpabilidad sexual en la sexualidad humana y desarrollar futuros programas de educación sexual para adolescentes.

Sex guilt is a determinant of sexual behavior. The goal of the present study was to analyze sex guilt in a Salvadorian sample of 594 young with ages ranging from 14 to 18 years, selected through a non-random process, in order to assess the influence of socio-demographic and sexual attitudinal variables on it. Participants filled in the Revised Mosher Guilt Inventory, the Sexual Opinion Survey, the Hurlbert Index of Sexual Fantasy, and the Negative Attitudes toward Masturbation Inventory. Results of multiple regression analysis suggested that sex guilt is determined, among other things, by attitudes towards sexual fantasy, erotophilia, negative attitudes toward masturbation, and sexual experience, in this order, being the attitudinal variables more important than the socio-demographic variables. Results of studies like this are useful to analyze the role of sex guilt in human sexuality and to develop sexual education programs for adolescents.

Compulsive masturbation treated with fluvoxamine-a case study

Masturbation is a normal part of psychosexual development. It becomes troublesome when it becomes ego-dystonic &compulsive in nature. The present article reviews the literature available on compulsive masturbation and provides acase report of a middle aged male who presented with compulsive masturbation and was treated successfully withfluvoxamine.

The Outcome of the Seminal Fluid Parameters Collected via Coitus Interruptus versus Masturbation

A one year study was carried out to determine the outcome of the seminal fluid parameters collected via masturbation and coitus interruptus in 151 patients who were undergoing intrauterine insemination (IUI) and patients who came for seminal analysis. There were no statistically significant differences in terms of volume, concentration, progressive motility and normal morphology from specimens collected via coitus interruptus compared to specimens collected via masturbation. Pregnancy outcomes were also comparable.

La masturbación como adicción primordial: la toxicidad del síntoma / Masturbation as a primary addiction: symptom toxicity

El presente trabajo es un avance de investigación donde se propone situar una concepción que encontramos en Freud sobre la adicción en relación con las neurosis. Para ello se sigue un camino que el mismo Freud ha trazado y que va de la masturbación al síntoma. La idea que surge es la posibilidad de ligar la masturbación como adicción primordial con la toxicidad del síntoma.

This present paper is a preview of the research where the purpose is pointing out a conception we found in Freud on the addiction in its relationship to neurosis. Therefore we follow a path that Freud himself has made and that goes from masturbation to symptom. The idea is linking masturbation as a primary addiction with symptom toxicity.s.

Masturbation and its relationship to sexual activities of young males in Korean military service

This study examined the masturbatory experiences and other sexual activities of young Korean males in military service. The actual status of masturbation and its relationship to sexual activity questionnaire. A total of 1,212 young males among military personnel in Korea were interviewed with sexuality questionnaires on masturbation, sexual intercourse and personal characteristics. We divided these subjects into four groups according to the age of initiation of masturbation and analyzed the relationship between masturbation and other sexual activities. The mean age of subjects was 22.03 +/- 1.22 (19-27) years. The percentage of men who reported ever having masturbated was 98.1% (1189/1212) and the average age of initiation of masturbation was 14.26 +/- 1.66 years. So we divided 1,212 males into four groups on the basis of the average age below and above one standard deviation. Overall, 67.7% (821/1212) had experienced sexual intercourse, and significantly, the earlier the initiation age of masturbation, the higher the coitus rate in each group (p < 0.05). About 21.5% of the men who were not virgins had experienced their first sexual intercourse with prostitutes. The mean age of first coitus, the incidence of sexually transmitted disease (STD) and the frequency of masturbation were closely linked to the initiation age of masturbation, respectively (p < 0.05). A masturbatory guilt feeling was seen in about 10.9% (132/1212) and there was no significant difference according to the types of religious worship (p = 0.227). On the basis of this study, sexual activities generally increased accordingly as the beginning of masturbation was earlier. Coital incidence in this study was 67.7% for young males in Korean military service, and 21.5% of them had their first sexual intercourse with prostitutes. Prostitution still plays an important role in the sexual lives of males in Korea. The incidence of STD was over 10% and homosexual manifestation was seen in 1.07% of subjects. Thus a proper and sound sex education at school during childhood is needed in Korea. A large scale survey of sexual behavior in various populations is essential for the improvement of correct sexual concepts.

A Case of Foreign Body in the Bladder / 대한비뇨기과학회지

Foreign bodies in the genitourinary tract are relatively common, and almost of them are discovered within the bladder. We had experienced a patient and report herein, who had a plastic tube in the bladder, introduced through urethra during masturbation. The size of the tube was 110cm in length and 0.5cm in diameter, and it was easily diagnosed by history, symptoms, simple KUB, cystoscopy, and was removed by foreign body forceps under the cystoscopy.

14 Cases of Foreign Bodies in the Bladder / 대한비뇨기과학회지

Foreign bodies in genitourinary tract are not rare and most of them are present in the bladder. Various kinds of object are introduced into bladder through urethra by both male and female patients. Traditionally, they were introduced mainly for the purpose of sexual behavior. But recently like in our cases, many of them are inserted iatrogenically with development of endourologic procedure. We report 14 cases of bladder foreign bodies. Some of them are surprising and beyond common sense in kind of object and aim of insertion. Six cases were inserted by iatrogenic, 5 cases for masturbation, 2 cases by independently of patient`s intention by other person(s). One patient who had history of mental retardation did not remember when, how, why and by whom the foreign body had been introduced. All the foreign bodies could be diagnosed by history, symptom, X-ray and cystoscopy and removed by cystoscopic manipulation or cystostomy with ease and without complication.

14 Cases of Foreign Bodies in the Bladder / 대한비뇨기과학회지

Foreign bodies in genitourinary tract are not rare and most of them are present in the bladder. Various kinds of object are introduced into bladder through urethra by both male and female patients. Traditionally, they were introduced mainly for the purpose of sexual behavior. But recently like in our cases, many of them are inserted iatrogenically with development of endourologic procedure. We report 14 cases of bladder foreign bodies. Some of them are surprising and beyond common sense in kind of object and aim of insertion. Six cases were inserted by iatrogenic, 5 cases for masturbation, 2 cases by independently of patient`s intention by other person(s). One patient who had history of mental retardation did not remember when, how, why and by whom the foreign body had been introduced. All the foreign bodies could be diagnosed by history, symptom, X-ray and cystoscopy and removed by cystoscopic manipulation or cystostomy with ease and without complication.