Urophilia: symptoms, causes and treatment

Human sexuality is very variedThere are many stimuli that may seem sexually desirable to different people. From the most traditional sex to the use of specific clothes, fantasies and role-playing or BDSM practices, they are all doable and can produce varying degrees of pleasure for those who perform them.

However, there are also practices that cause pain or discomfort to the person or that can become compulsive, limiting the functionality of the person performing them and in some cases may even be incurred. not necessarily sexual relations) or with people or beings without the capacity to consent (such as children, animals and corpses).

We are talking about paraphilias. Among them, some are really dangerous, illegal and criminal, while others, although they do not cause suffering to others and do not commit crime, can cause discomfort to those who suffer due to the consideration given to them by what attracts them sexually. or extreme fixation with this stimulation. One of these is urophilia, Which we will talk about throughout this article.

    Urophilia as paraphilia

    Urophilia is one of the many paraphilic disorders that exist, alterations formerly known as sexual inclination disorders or the choice of the object of desire which is characterized by the presence of sexual fantasies and / or sexual behaviors with unusual objects of desire as protagonists, generally living beings who do not consent or without the capacity to consent or the fact of providing or to receive pain and humiliation.

    To be considered as such these fantasies must be continuous and exist for at least six months and generate suffering, Discomfort or functional limitations of sufferers or their sexual partners. In addition, the object of desire is usually very restricted, sometimes being the only thing that generates some kind of sexual stimulation for the subject or a requirement to achieve orgasm or sexual arousal.

    In the present case, that of urophilia, it is a paraphilia in which the object of desire or the motivator of fantasy and sexual activation is urination or urination. Touching, seeing, hearing or smelling someone urinating or the fluid itself is rewarding for these subjects (urolangia). People with hemophilia are generally attracted to the idea of ​​urinating on their partner or in which the couple urinates on them (the same subject may have a passive or active role in urination). The thought of ingesting fluid (urophagy) can also be exciting.

    Although not socially accepted, sexual practices related to urophilia do not generally present a great danger for the people who perform them. However, it is necessary to take into account, however, the existence of a certain danger in this type of practice with regard to the transmission of bacterial infections.

    Although urophilia is not very common as a paraphilia, it is considered to be an alteration or disorder. More specifically, the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders includes urophilia in the classification of “other specific paraphilic disorders”.

    Differentiation with eschatological practices

    Given this definition of urophilia, it is likely that many people consider that having sexual practices in which they urinate on another or play with the urine therefore involves alteration or psychopathology. But it is necessary to clarify that this is not the case.

    This clarification is very necessary, because there are sexual practices such as eschatological which although they are not well viewed or socially accepted, they do not involve pathology. As with other unusual sexual practices, the so-called golden shower is nothing more than a means of obtaining sexual satisfaction through a particular experience or simply to experiment.

    In other words, being aroused in a context in which urine participates does not imply the presence of urophilia as paraphilia. We will only consider that we are confronted with a pathology when this practice is the only way to obtain sexual gratification, Limit the subject’s life and / or cause discomfort and pain.

    the causes

    The causes of urophilia are, however, unknown there are several interpretations in this regard. As with other paraphilias, it is believed that urophilia may have its origin in conditioning learning, having accidentally associated sexual arousal with the act of urinating and having subsequently reinforced this association with practices such as masturbation.

    This explanation may make sense, especially considering that the genital and urinary tract are very close to women while in men, semen and urine pass through the urethra, be able to associate sexual arousal with the sensations produced during urination.

    Another possible explanation has to do with the association that is made of urine as an element of power. In nature, urine is used in a large number of animals as an element to indicate ownership of a territory. Sexual arousal in the face of urophilic practices could be linked to this fact, being a game of power or submission. In this sense, there are authors who link urophilia to sadomasochism.

      Treatment of this paraphilia

      When we speak of urophilia proper, that is to say the situation in which sexual arousal is limited to these practices and its realization generates discomfort, suffering or limitations for oneself or for them. other, psychological intervention may become necessary.

      The first would be to know the level of affectation it implies for the person involved, what aspects it limits and what thoughts or feelings its object of desire generates for them. It is necessary to assess its origin and the significance of urine for the subject during sexual intercourse.

      In addition to this, it will be necessary to work as much as possible on the possible couple and sexual problems that may exist in a comorbid way or that may be related to the genesis of the paraphilia. The development of positive links will be worked on and can research the analysis and modification of fantasies: find the subject’s fantasies and assess which part of them he finds exciting, as well as the reason for it. Located this aspect, it is indicated to the subject who introduces alterations in these fantasies at the time of masturbating.

      Another technique that can be used is masturbation repackaging, in which the patient is asked to masturbate repeatedly and after that (especially in the refractory period) describe the elements that generate sexual desire. He would be wanted in this case ensuring that urine is not associated with sexual arousal.

      But these two examples are techniques which would only make sense if urophilia generates suffering in the patient or limits him or his partner. In this last sense, it can also be more than advisable to go in couple and in sex therapy to find a solution. It is also possible for a person to find that practices such as golden rain simply appeal to them and for some reason or social pressure are blocked or inhibited, and they may work on cognitive restructuring so as not to see themselves as upset or strange. .

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