Urolagnia (also urophilia, and, more colloquially, a golden shower or watersports) associates sexual excitement with the sight or thought of urine or urination, and may also refer to such behaviours or acts. It is a paraphilia.The term has origins in the Greek language (from ouron, "urine", and lagneia, "lust").Golden shower is slang for the practice of urinating on another person for sexual pleasure. Overview
Urolagnia is an inclination to derive sexual satisfaction from the vision or idea of urination. It is a paraphilia. During the activity, urine may be consumed or the person may bathe in it. Other variations include arousal from wetting or seeing someone else urinate in their pants or underclothes, or wetting the bed. Other forms of urolagnia may involve a tendency to be sexually aroused by smelling urine-soaked clothing or body parts. In many cases, a strong correlation or conditioning arises between urine smell or sight, and the sexual act. For some individuals the phenomenon may include a diaper fetish and/or arousal from infantilism. Urolagnia is sometimes associated with, or confused with the Japanese practice of omorashi, arousal from having a full bladder or a sexual attraction to someone else experiencing the discomfort or pain of a full bladder, possibly a sadomasochistic inclination. Common variations
Golden shower: A shower or stream of urine is directed onto another person or persons. Clothes wetting: The person is sexually aroused by wetting ones clothing or observing another person doing so.
It is a regular narrow complex tachycardia that usually responds well to the Valsalva maneuver or the drug adenosine. However, unstable patients sometimes require synchronized cardioversion. Definitive care may include catheter ablation. AV reentrant tachycardia
AV reentrant tachycardia (AVRT) requires an accessory pathway for its maintenance. AVRT may involve orthodromic conduction (where the impulse travels down the AV node to the ventricles and back up to the atria through the accessory pathway) or antidromic conduction (which the impulse travels down the accessory pathway and back up to the atria through the AV node). Orthodromic conduction usually results in a narrow complex tachycardia, and antidromic conduction usually results in a wide complex tachycardia that often mimics ventricular tachycardia. Most antiarrhythmics are contraindicated in the emergency treatment of AVRT, because they may paradoxically increase conduction across the accessory pathway. Junctional tachycardia
Junctional tachycardia is an automatic tachycardia originating in the AV junction. It tends to be a regular, narrow complex tachycardia and may be a sign of digitalis toxicity. Management
The management of tachycardia depends on its type (wide complex versus narrow complex), whether or not the person is stable or unstable, and whether the instability is due to the tachycardia. Unstable means that either important organ functions are affected or cardiac arrest is about to occur. Unstable
In those that are unstable with a narrow complex tachycardia, intravenous adenosine may be attempted. In all others immediate cardioversion is recommended.