Anal incontinence

Anal incontinence

Loss of control over the bowels, though rare according to some, is thought to be a valid concern and is reported to be caused by repeated injury, or by the insertion of large objects,or simply by regular anal sex, which "leads to internal sphincter dilation and soiling."

A 1993 study published in the Journal of the Royal Society of Medicine found that fourteen out of a sample of forty men receiving anal intercourse experienced episodes of frequent anal incontinence. However, a 1997 study published in the American Journal of Gastroenterology found no difference in levels of incontinence between homosexual men who engaged in anal sex and heterosexual men who did not, and criticised the earlier study for its inclusion of flatulence in its definition of incontinence.

Dr. Jack Morin recommended kegel exercises to prevent loss of muscle tone from anal fisting or insertion of large objects in a presentation of clinical aspects of anal sexuality, delivered at the 1998 joint conference of the Society for the Scientific Study of Sexuality and the American Association of Sex Educators. He added, however, that he had never personally observed "loosening" in any of his patients^[44].