RECTAL FOREIGN BODIES

Anorectal simulation and penetration is a relatively common sexual practice. Digital and penile penetrations are the most common forms. A segment of the homosexual population practices fist fornication, a technique that involves insertion of fist and arm into the anorectum. This activity can result in severe injury to the anal sphincter and perforation of the rectum and colon. Anorectal foreign body is no longer a medical oddity, rather it is encountered frequently.The vast majority of objects are inserted by; self introduction in children or psychiatric patients, in victim of assault and as a result of sexual gratification. Iatrogenic foreign bodies include thermometers, enema tips and catheters. The objects placed as a result of assault, trauma or eroticism consist of a diverse collection including sex toys (dildos), tools and instruments, bottles, cans, jars, pipes and tubing, fruits and vegetables, stones, light bulbs and flash lights