Orgasm Research Articles

Non-penetrative sexuality and sexual satisfaction among partners of prostatectomy candidates

Curative surgery for localized prostate cancer can lead to iatrogenic erectile dysfunction (ED), affecting couples. Sexuality remains influenced by social norms, often requiring men to provide pleasure through rigid erections. However, iatrogenic ED does not prevent male orgasm, although it can disrupt body image and self-esteem. This study aims to describe couples’ sexual repertoire and partners’ sexual satisfaction post-radical prostatectomy at the Centre Hospitalier Universitaire de Martinique. A monocentric retrospective observational study was conducted with data collected from January 2021 to March 2024. The Valentin and ASEX questionnaires were administered to the partners of future vesiculo-prostatectomy patients at the start of the sex-rehabilitation program. Responses were analyzed anonymously using the Sphinx iQ2 application. The characteristics of the population were described in terms of proportions and means, with a significance threshold set at 0.05 for statistical tests. Of the 152 couples identified, 65 Valentine questionnaires were available. Respondents were heterosexual women, with an average age of 59, and their partners had an average age of 64. Non-penetrative sex was already part of the sexual repertoire for 52% of couples prior to prostate cancer diagnosis. After surgery, 32% of partners resumed penetrative sex, while 43% had not yet resumed sexual intimacy, and 14% had resumed non-penetrative sex. Mutual fondling (85%), vaginal penetration (70%), female oro-genital sex (70%) and male oro-genital sex (52%) were the most popular sexual stimuli. Surgery was therefore no obstacle to sexual satisfaction for our respondents, with a satisfaction level of 90% before and 86% after total prostatectomy. The same applies to orgasm before and after total prostatectomy. The results show that erectile dysfunction is not an obstacle to partners’ sexual satisfaction, with couples able to reinvent their sexuality around non-penetrative practices. Sexual satisfaction indicators before and after RA show a strong correlation, confirming that surgery does not negatively affect sexual satisfaction. The results show that men suffering from post-RP ED can free themselves from the dogma of penile erection by exploring female sexual pleasure to a greater extent. Couples practicing non-penetrative sexuality report satisfying, more playful, complicit and varied sexuality. Finally, ED has less of an impact on partners than future operators believe.

Exploring the Prevalence and Influencing Factors of Sexually Explicit Internet Material (SEIM) Consumption among Adolescents and Young Adults in Cambodia

Purpose: This study investigates the prevalence and factors associated with the consumption of sexually explicit Internet material (SEIM) among adolescents and young adults in Cambodia. Methods: Utilizing a cross-sectional study design, data were collected through a survey administered to 1,271 participants. The survey focused on measuring SEIM consumption, sexual sensation seeking, perceived reality of SEIM, and sexual attitudes. Findings: The study revealed a SEIM prevalence of 27.2%, with notably higher rates among males (35.5%) than females (18.6%). Significant predictors of SEIM consumption included being male, having a father with a middle-level education, engaging in alcohol or substance consumption, spending more than five hours daily on electronic devices, having friends with sexual experience, frequent thoughts about sex, a heightened interest in sex compared to peers, perceiving SEIM as realistic, and maintaining a permissive attitude towards sex. Conclusions: These findings underscore the importance of implementing education programs to address SEIM consumption and its potential risk factors. Such initiatives are crucial for preventing the use of SEIM among Cambodian youth, promoting a healthier understanding of sexuality, and fostering responsible online behavior.

The Idea of Meaning and Regulation of Sexual Gratification as a Crime of Corruption in Indonesia

Strict and aimless law authorization is the key to battling debasement. One thing that requires clear control is the issue of giving sexual favours in cases including people indicted of debasement. The objective of this consideration is to supply an examination concerning the basic concept of sexual favours as an implication of the criminal act of debasement and the thought of the meaning and direction of sexual satisfaction as a shape of the criminal act of debasement. This considers utilizing a subjective strategy employing a literature audit strategy. The approach utilized in this article is one that is carried out by checking on and analyzing the case in conjunction with all important laws and directions. The comes about of this investigation are imperative for characterizing sexual satisfaction and lawful controls in Indonesia. Comparison with respect to sexual satisfaction controls in other nations, the presence of deterrents in law requirements regarding sexual satisfaction in Indonesia and challenges in reporting and demonstrating sexual satisfaction. The suggestion of this investigation is the significance of unequivocally characterizing sexual administrations within the Debasement Law, and they must be carried out socialization and promotion with respect to the concept of sextortion.

An Explanation of the Psycho-Social Factors Driving Child Sexual Perpetrators Towards Sexual Abuse in Khyber Pakhtunkhwa

Child Sexual Abuse (CSA) is a severe global child rights issue. This native research finding is the first of its kind and will explore the persuading factors and pave the way for future research exploration. The study explores the psychosocial factors driving perpetrators to commit child sexual abuse. The integrated theory of sexual offending by Ward and Beech 2002 guided the research. This study used a phenomenological qualitative methodology and purposive sampling to select participants. Twenty-five child sexual perpetrators were interviewed in a private room at central jail, Peshawar, after receiving formal approval from jail authorities and verbal consent from the participants. They were allowed to withdraw from the interview at any time. Data collection involved 60 to 80-minute in-depth interviews guided by a structured protocol. Ethical standards, including verbal informed consent and ensuring anonymity and confidentiality, were strictly adhered to throughout the research process. NVIVO software was used for thematic analysis. The analysis revealed a myriad of psychosocial factors influencing perpetrators, such as childhood victimization, substance abuse, cognitive distortions, notions of masculinity, delayed marriage, sexual gratification, social isolation, and exposure to pornography. Perpetrators are often familiar faces within the child's and family's proximity, typically with no prior convictions and mostly first-time offenders. The study highlights the complex interplay of psychosocial factors that drive perpetrators to child sexual abuse.

Family Planning and Men's Condom from the Perspective of Women and Men in Turkey: A Qualitative Study

Objective: In this study, it was aimed to examine the opinions of men and women who use male condoms as a contraceptive method, regarding the method and family planning. Methods: The sample of the study, which was carried out in a qualitative design, was chosen by the purposeful sampling method and consisted of 12 women and 13 men, categorized according to their genders. Results: As a result of this study, the findings of men and women using the male condom method were grouped under five themes. Themes are male condom decision making process, the effect of male condom on sexual life, disadvantages perceived by the male condom, gender in the use of family planning, beliefs in the use of family planning. Conclusion: This study was found that men decided to use male condoms by hearing from the environment, reduced sexual sensation, had a feeling of plastic / substance and found it costly. It was determined that women preferred it because they were clean and heard from the environment, reduced pleasure, was costly and negatively affected their sexual life.

The Rise of Cosmetic Gynecological Surgeries in Pakistan: Navigating Cultural Sensitivity and Patient Safety

As cosmetic gynaecological procedures become more popular in Pakistan, it is important to evaluate their impact on the healthcare system. Many women pursue these surgeries to enhance their self-esteem, improve sexual gratification, or gain social acceptance. However, these motivations often conflict with traditional values of femininity and modesty in Pakistan, presenting unique challenges. Additionally, the lack of regulation in the field is a significant concern. Many surgeries are performed in unregulated clinics, which can lead to risks such as infections, scarring, and psychological distress. Therefore, it is essential for healthcare providers to ensure that these surgeries are conducted in accredited facilities by qualified practitioners.

The Mediating Role of Sexual Arousal and Gratification in the Relationship Between online Pornography Motivation and Tendencies towards Internet-Pornography-Viewing Disorder (IPD)

The Mediating Role of Sexual Arousal and Gratification in the Relationship Between online Pornography Motivation and Tendencies towards Internet-Pornography-Viewing Disorder (IPD)

Comparing the Effects of Lavender Aromatherapy and Mindfulness-Based Cognitive Therapy on Sexual Function in Women in Iran

ObjectiveTo compare the effects of aromatherapy with lavender and mindfulness-based cognitive therapy for sexuality (MBCT-S) on female sexual function. DesignRandomized controlled trial. SettingHealth centers in Roudan city, Iran. ParticipantsSixty married women, ages 18 to 45 years, were recruited using the Female Sexual Function Index (FSFI). Participants were selected from health centers in 2022 via convenience sampling. Intervention and MeasurementsUpon their completion of a demographic checklist and the FSFI as a pretest, participants were divided into three groups, including lavender aromatherapy (n = 20), MBCT-S (n = 20), and control (n = 20) through random selection with permutation blocks. All groups completed FSFI as a posttest. Data were analyzed by SPSS 26 using chi-square, Wilcoxon, Kruskal–Wallis, and Mann–Whitney statistical tests. ResultsThere was no statistically significant difference among the three groups before the intervention (p = .652), but there was a significant difference among them after the intervention (p = .001). There was a significantly positive difference between the intervention groups and the control group (p < .001). A significant relationship was observed among the three groups in sexual desire, pain, satisfaction, lubrication, and arousal. The mean scores of the posttest in sexual desire, pain, satisfaction, and lubrication were positively higher in the MBCT-S group than in the aromatherapy group, and both intervention groups showed the same effect for sexual arousal. Aromatherapy and counseling had no significant effect on improving sexual orgasm. ConclusionMBCT-S can be used to improve many aspects of female sexual function, except for orgasm disorders; aromatherapy may improve sexual arousal.

Sexual Gratification as an Expanded Form of Corruption Crime Under Indonesian Positive Law

Along with its development, the category of sexual gratification emerged which received a lot of attention from the public and law enforcement officials. This sexual satisfaction is different from the satisfaction we know in general. The difference lies in the object. Sexual gratification is a form of degrading women's dignity. In Indonesia, sexual gratification has not been explicitly regulated. Therefore, this research will discuss the regulation of sexual gratification based on positive law in Indonesia and the evidence. From the results of the analysis it is known that sexual gratification can be included in the provisions of Article 12 B paragraph 1 of Law 20 of 2001 concerning Amendments to Law Number 31 of 1999 concerning the Eradication of Corruption Crimes. This can be found in the phrase "other facilities" where "facilities" themselves are defined as the means used to facilitate an implementation. Therefore, the use of sexual service facilities with the aim of achieving all desires is the intention of the party providing satisfaction. Proof of the existence of sexual gratification in eradicating corruption in Indonesia is based on criminal procedural law which refers to the Criminal Procedure Code (KUHAP) in Article 184 paragraph (1) and Article 26A of Law Number 20 of 2001 Jo. Law Number 31 of 1999 uses a reverse or balanced evidentiary system where the burden is on the Public Prosecutor and the defendant to provide evidence of the criminal act of sexual gratification for which the defendant is charged.

“Tender Murderer”: A Psychoanalytic Reading of Jeffrey Lionel Dahmer in Thom Gunn’s Boss Cupid

This article examines Thom Gunn’s poem “Troubadour,” in his final collection Boss Cupid (2000), containing five songs “Hitch-hiker,” “Iron Man,” “The Visible Man,” “A Borrowed Man,” and “Final Song”, all of which are sung by the infamous serial killer, Jeffrey Lionel Dahmer. Gunn’s study of Dahmer, evoking compassion, furnishes a murderer who performs his own role of “troubadour” while singing his intense feelings and aberrant actions from his own voice in a romantic mode. This act of speaking for himself highlights a strong sense of self-awareness and renders a murderer who is cognizant of his miserable situation. Thus, the poet’s treatment is with a particular empathy for such all-consuming sexual passion through an act of romanticizing the killer’s horrendous ways of murdering. Based on the poet’s lack of prejudice towards any propensities and his courage of going against the poetic conventionalities in his time, this study explores Gunn’s portrayal of Dahmer as a ‘tender murderer’, a desperate intimacy seeker victimized by his damaged psyche, thereby having sexual gratification in killing, the only way to stop his partner from leaving him. While the article engages with the phases of Dahmer’s homicidal acts operating on tender feelings in these songs, it does so through Jacques Lacan’s theories of the psyche with its three diagnostic structures: Neurosis, Psychosis, and Perversion. Two of these fundamental categories of diagnosis will be utilized to define particular symptoms, which cater to reading the tender murderer’s motive(s).

Image-Based Sexual Abuse Perpetration: A Scoping Review.

Image-based sexual abuse (IBSA) refers to the nonconsensual creating, taking, or sharing of intimate images, including threatening to share images. It can also include coercing someone into sharing intimate images, or sending unwanted intimate images. In recent years, there has been growing attention to the nature, scope, and impacts of IBSA, but comparatively little attention has been paid to the perpetration of these harms. This scoping review consolidates and synthesizes the existing knowledge on the perpetration of IBSA against adults. The review involved a systematic search of scholarly and gray literature across select databases. In total, 26 studies met the inclusion criteria. Studies were included if they were published in English between 2013 and 2023 and reported on findings of a sample of adults over the age of 16 who admitted IBSA perpetration behaviors. The review found that prevalence of subtypes of IBSA varied significantly across the studies. There was consensus that adults who engage in IBSA perpetration are more likely to be men, younger adults, and LGBTIQ+. Motivations were multifaceted, but tended to relate to social rewards, power dynamics, sexual gratification, and retaliatory impulses. Dark Tetrad traits were found to be positively associated with IBSA perpetration. The research also indicates on overlap between victimization and perpetration, as well as an association with other offending behaviors, such as intimate partner violence. Prevention interventions should be focused on changing the opportunities, affordances, and infrastructures for offending, as well as addressing problematic societal attitudes and norms, with early interventions focused on building resilience and self-esteem, and promoting healthy behaviors and respectful relationships.

The prevalence and factors associated with sexting among Vietnamese adolescents: a gender-specific analysis

Little is known about sexting among the teen population in Vietnam. The study aims to examine the prevalence of sexting behaviors among Vietnamese adolescents and factors affecting sexting behaviors. 724 Vietnamese high school students from 15 to 18 years of age (Mage = 16.65, SDage = 0.60, 57.90% female) anonymously and voluntarily completed a self-report questionnaire measuring sexting behaviors and other related factors. Results revealed that 43.9% of adolescents were involved in at least one type of sexting behavior and 25% conducted at least one type of active sexting behavior. Gender differences were found in all types of sexting, with more involvement of males than females. Multiple logistic regression results showed that sexual sensation seeking was strongly related to all types of sexting behaviors in both genders, and exposure to sexually explicit internet material (SEIM) was associated with all types of active sexting behaviors among female adolescents. Sexting has become a relatively notable form of sexual interaction among teenagers in Vietnam. Therefore, parents, educators, and key stakeholders need to develop effective sex education programs that recognize the sexting behaviors of young people and support them in developing healthy relationships and existing safely and responsibly in a digital age.

Preliminary Efficacy of Topical Sildenafil Cream for the Treatment of Female Sexual Arousal Disorder: A Randomized Controlled Trial.

To assess the efficacy of topical sildenafil cream, 3.6% among healthy premenopausal women with female sexual arousal disorder. We conducted a phase 2b, exploratory, randomized, placebo-controlled, double-blind study of sildenafil cream. Coprimary efficacy endpoints were the change from baseline to week 12 in the Arousal Sensation domain of the SFQ28 (Sexual Function Questionnaire) and question 14 of the FSDS-DAO (Female Sexual Distress Scale-Desire, Arousal, Orgasm). Two hundred women with female sexual arousal disorder were randomized to sildenafil cream (n=101) or placebo cream (n=99). A total of 174 participants completed the study (sildenafil 90, placebo 84). Among the intention-to-treat (ITT) population, which included women with only female sexual arousal disorder and those with female sexual arousal disorder with concomitant sexual dysfunction diagnoses or genital pain, although the sildenafil cream group demonstrated greater improvement in the SFQ28 Arousal Sensation domain scores, there were no statistically significant differences between sildenafil and placebo cream users in the coprimary and secondary efficacy endpoints. An exploratory post hoc subset of the ITT population with an enrollment diagnosis of female sexual arousal disorder with or without concomitant decreased desire randomized to sildenafil cream reported significant increases in their SFQ28 Arousal Sensation domain score (least squares mean 2.03 [SE 0.62]) compared with placebo cream (least squares mean 0.08 [SE 0.71], P =.04). This subset achieved a larger mean improvement in the SFQ28 Desire and Orgasm domain scores. This subset population also had significantly reduced sexual distress and interpersonal difficulties with sildenafil cream use as measured by FSDS-DAO questions 3, 5, and 10 (all P ≤.04). Topical sildenafil cream improved outcomes among women with female sexual arousal disorder, most significantly in those who did not have concomitant orgasmic dysfunction. In particular, in an exploratory analysis of a subset of women with female sexual arousal disorder with or without concomitant decreased desire, topical sildenafil cream increased sexual arousal sensation, desire, and orgasm and reduced sexual distress. ClinicalTrials.gov , NCT04948151.

(074) THE REPRESENTATION OF FEMALE SEXUAL MEDICINE AND GENITAL ANATOMY IN A USMLE STEP 1 RESOURCE

Abstract Introduction Sexual health is an essential component of overall health and wellness. Sexual dysfunction is pervasive and there are barriers to adequate diagnosis and treatment, including lack of instruction for medical students. Previous work from our group assessed the curricula of all seven medical schools within the Chicago area and highlighted the need to standardize both preclinical and clinical materials to enhance student education, exposure, and preparation in female sexual medicine (FSM). The United States Medical Licensing Exam (USMLE) Step 1 significantly informs content of pre-clinical undergraduate medical education. Comprehensive USMLE Step 1 resources therefore assume an integral role in exposing medical students to key topics which may or may not be included in their individual school’s curriculum. Thus, it is important to assess if information about FSM and female genital anatomy is delivered to medical students and to what extent in board exam materials. Objective This study aims to assess the coverage of sexual medicine topics in a USMLE Step 1 resource and to compare the representation of male- versus female-specific content. Methods Digital copies of First Aid for the USMLE Step 1 2020-2023 versions were collected and evaluated for inclusion of sexual medicine subjects and topics for both males and females. The content of the chapters titled “Reproduction” and “Psychiatry” were included. To standardize our data collection, existing literature was used to identify specific components of anatomy and physiology related to genital anatomy and orgasm. Additionally, the epidemiology, pathologies, and treatments of FSM were specifically searched for in this resource. Results Across the four editions of the resource included for evaluation, all covered the physiology of the male orgasm, however, none included the physiology of the female orgasm. Moreover, the only mention of female sexual dysfunction (FSD) was in the psychiatry chapter which only briefly addressed the pathophysiology of FSD, but not the epidemiology nor the treatment of FSD. Furthermore, only one out of seven relevant anatomical terms describing parts of clitoral anatomy were included. Homologous male genitalia was consistently labeled for the glans penis, prepuce, corpora cavernosa, and corpus spongiosum as four out of six anatomical terms of interest. Additionally, all four editions from 2020-2023 included content on penile neurovasculature and a penile cross-sectional diagram; however, there was no mention of clitoral neurovasculature nor were there any cross-sectional diagrams of female anatomic components in any of the four editions evaluated. Conclusions Despite this USLME Step 1 resource’s over 840 pages, the representation of topics related to FSM is lacking compared to analogous male topics. Recent literature which has highlighted the gaps in FSM education and the importance of comprehensive sexual medicine training for physicians, however, there have been no significant changes to the content of this resource over the past four editions. USMLE Step 1 resources play a vital role in enhancing the understanding of FSM among medical students. Content expansion is needed to provide accurate information to patients, help patients make informed decisions about treatments, destigmatize reproductive and sexual health, and overall advance medical knowledge of FSM. Disclosure No.

Clinical Management of Ksheena Shukra (Oligospermia) W.S.R. to Ashwagandhadi and Shatavaryadi Choorna – A Comparative Study

Introduction: Kama or sexuality is the root of procreation. Every married couple’s dream of getting their own progeny is initiated, mediated, and formulated through this Kama. This is possible when the anatomical structures and physiological functions of sex organs of both partners are intact. Otherwise, the whole intention becomes in vain. In nutshell, Kama affects in sexual gratification and better progeny to lead happy life, which is perturbed in the absence of the same. Kama is the third pursuit of the man (purushartha) also. The inability to procreate, i.e., infertility is such a condition, which severely affects the couple’s psychological harmony, sexual life, and social stigma and ultimately leads to separation from life partner and many a time to suicide. According to Ayurveda, Shukra should possess such a potency so as to conceive a lady. The impact of defective Shukra is infertility. Although, in Ayurveda, many effective remedies for this disease are mentioned without any known side effects, a major drawback attribute to these remedies is that they involve laborious treatment procedures such as Shodhana procedures, where the patient has to be hospitalized and they have to follow strict diet and regimen during these procedures and these procedures are more time consuming also. Materials and Methods: In the present study, the subjects were randomly selected according to the inclusion and exclusion criteria, specifically designed, and were randomly placed into two Groups, namely Group A and Group B containing 15 subjects each. Subjects of both Groups were given internally Hareetakyadi Choorna for Mala Shodhana and till the Nirama Lakshana was obtained. Later, the subjects of Group A and Group B were given Ashwagandhadi and Shatavaryadi Choorna, respectively, for 2 months along with Ksheera as Sahapana internally. The follow-up period for both the groups was 2 months. Results: The assessment was done before the treatment, soon after the completion of the course of the treatment and after the follow-up period, and thus, the total assessment was done based on the change in improvement observed, before and after the treatment. Conclusion: On seeing the comparative efficacy of Group A and Group B, it is found that Group A is much effective on parameters such as Dourbalya, Mukhashosha, Shrama, Sadana, Pandu, Sperm Count, Liquefication time, and sluggish sperms whereas Group B is more effective on parameters such as volume, motile sperms, and non-motile/dead sperms.

‘L celeste e ‘l vulgare Amore instituiti da Platone:’ Bellori’s Interpretation of Annibale Carracci’s Theme of Love in the Farnese Gallery

In 1672 Giovanni Pietro Bellori, Annibale Carracci’s biographer, published a comprehensive study of the Carracci’s paintings in the Farnese Gallery, interpreting Annibale’s ceiling as expressing a conception of “heavenly and common love formulated by Plato.” Charles Dempsey, a pivotal twentieth-century scholar disagrees with Bellori’s interpretation and replaces it with Virgil’s verse “omnia vincit Amor,” suggesting that idea of “Love conquers all” expresses the spirit of the ceiling. In this paper, I follow Bellori’s interpretation and argue that he understood Annibale’s depictions of same-sex love, pederasty, marriage, and sexual gratification as allusions to Pausanias’s heavenly and common Aphrodite in Plato’s Symposium.

ENDOSCOPIC TRANSANAL REMOVAL OF EGG FROM RECTOSIGMOIDAL JUNCTION

It is not uncommon that we encounter patients with different kinds of foreign bodies in the rectumfor a variety of reasons. Most of the cases reported in the literature reveal that rectal foreign body insertion is mainly for sexual gratification. To avoid the embarrassment and scrutiny, patients often delay seeking medical help which complicatesmedical management. We discuss a case of a 21-year-old male who presented after voluntary insertion of multiple eggs into the anus. Although the suggested protocol and technique was followed to retrieve the egg and the debris, it still required some creativity and careful methodology.

Rectal Foreign Body in Male: A Case Report

The rectal foreign body is a rare presentation, often related to sexual gratification, sexual assault, or the result of ingestion and rarely accidental. The majority of rectal foreign bodies inserted by adults are for self-gratification. As a result, they will probably be smooth, rounded, tubular, or egg-shaped to make insertion and extraction easier. Herein, we describe a 55-year-old man with accidental insertion of a foreign body (tumbler made of steel ) through the anus 1 day prior without peritonitis into a region 4cm from the anal verge. It should be noted that early diagnosis and timely intervention are important to prevent complications in rectal foreign bodies. Assessment of the shape, size, nature, and location of the object through appropriate imaging is necessary. Exploratory laparotomy is inevitable in cases of failed manual extraction techniques and complicated cases.

(158) Comparison Implants for Penile Girth Enlargement: PPLA Shaft vs Silicone Implant

Abstract Introduction Male dissatisfaction with the penis size is the most common manifestation of penile dysmorphophobia. Despite the diversity of penis enlargement methods a single safe technique that fully satisfies patients has not yet been developed. Objective The aim of this work is to compare the results of a combined operation on installation of a silicone implant or a porous polylactic acid (PPLA) scaffold impregnated with autologous stem cells with simultaneous ligamenotaxis to increase the length and circumference of the penis. Methods In 2017–2023 there were performed penis enlargement surgeries in 3 centers. In Ukraine and Poland 38 patients from were operated with implantation of a porous Max Pol PLLA scaffold, and in Mexico implantation of silicone implants Peniflex in 36 patients was performed. The results of penis enlargement were evaluated in the early (2 months) and long-term (36 months) periods. Results While implanting a silicone implant the majority of the patients - 31 (86.1%) are satisfied with the result, 27 (75%) patients mention an improvement in sexual life, 31 (86.1%) also mention an increase in their own self-sufficiency. At the same time, some patients mentioned the following complications: 2 (5.6%) patients mentioned displacement of the silicone matrix, 1 (2.8%) patient mentioned prolapse of the implant, 1 (2.8%) patient mentioned a decrease in erection (which did not improve after removal of the implant), in 1 (2.8%) case the silicone implant had to be removed due to the fact that the patient did not liked the appearance. While using a collagen-like matrix made of polymerized polylactic acid impregnated with autological stem cells in 38 patients, we have seen one significant complication - prolapse that caused the removal of the matrix (in men that had denied circumcision before implantation). However, 5 (13.2%) patients required additional polylactic acid gel injections between 6 and 36 months to optimize the shape or volume of the penis. 34 (89.5%) patients mentioned an improvement in the sexual function and sexual sensations of their partner, harmonization of relationships in a couple, and 36 (97.4%) men - an increase in a sense of self-sufficiency. In 3 years most of the patients 26 (68,4%) have been satisfied with particularly resolved implant but 13 (34.2) patients want to add some PLA gel as injection for penile girth recovery. Conclusions Thus, modern implants can improve the size and appearance of the penis, improve the quality of sexual life and the feeling of self-sufficiency in operated men. The use of silicone implants is simpler, it require only long drain 3–5 days. Most of operated patients were satisfied results of silicone implant. The use of a polymer matrix impregnated with autologuous stem cells requires a special biostem cell laboratory, more time for preoperative rehabilitation, but can be considered as more philological. Both methods can be considered as permanent and quite safe for penis enlargement. Disclosure No.

Paraphilia Induced Suicide: A Case Report

Paraphilia is a term used to describe different sexual deviations involving unconventional methods of sexual gratification. Paraphili as indulged in abnormal and orthodox sex play by using objects as parts of the body or fantasies in which complete satisfaction is sought and obtained without sexual intercourse. Perversions are acts that are socially prohibited or unacceptable, or biologically undesirable. In sexual paraphilia, usually, person psychopaths suffer from mental aberrations and conflicts, socio-sexual maladjustments, psychosexual imbalance, and abnormalities. Paraphilia-induced suicide is a type of anomic suicide, and anomic suicide is due to a lack of social regulation that occurs during high levels of stress and frustration. Paraphilia may induce suicide even though paraphilia is not punishable. It is just due to fear of social defamation and social taboo. Case presentation: A 59-year-old male committed suicide on the railway track, and thenthe body was sent to the mortuary room for an autopsy examination. History was taken from the police and relatives. He was a widower for the last 15 years. Conclusions: Paraphilia is the form of the insertion of foreign bodies in the rectum, and when a person cannot remove foreign bodies himself, attending a hospital is very humiliating. To prevent the social integrity or selfesteem, the person committed suicide. Where this type of paraphilia is not listed as a crime in India, for sexual gratification, a person may use it by any means, which may be natural or unnatural form. Many unnatural forms of paraphilia are used by many people, which is not punishable. Sexual gratification is done by most of normal people and a few abnormal psychiatric people by any sexual perversion. All paraphilia that is not punishable by the law should not be considered a social taboo.