Coprophilia (from Greek κόπρος, kópros excrement and φιλία, philía liking, fondness), also called scatophilia or scat (Greek: σκατά, skatá feces), is the paraphilia involving sexual arousal and pleasure from feces. Research
In the Diagnostic and Statistical Manual of Mental Disorders (DSM), published by the American Psychiatric Association, it is classified under 302.89—Paraphilia NOS (Not Otherwise Specified) and has no diagnostic criteria other than a general statement about paraphilias that says "the diagnosis is made if the behavior, sexual urges, or fantasies cause clinically significant distress or impairment in social, occupational, or other important areas of functioning". Furthermore, the DSM-IV-TR notes, "Fantasies, behaviors, or objects are paraphilic only when they lead to clinically significant distress or impairment (e.g. are obligatory, result in sexual dysfunction, require participation of nonconsenting individuals, lead to legal complications, interfere with social relationships)". Although there may be no connection between coprophilia and sadomasochism (SM), the limited data on the former comes from studies of the latter. A 1999 study of 164 males in Finland from two SM clubs found that 18.2% had engaged in coprophilia; 3% as a sadist only, 6.1% as a masochist only, and 9.1% as both. In the study pool 18% of heterosexuals and 17% of homosexuals had tried coprophilia, showing no statistically significant difference between heterosexuals and homosexuals.
Women with rectovaginal fistulae are often stigmatized in developing countries, and become outcasts.Rectovaginal fistula can also be a symptom of various diseases, including infection by lymphogranuloma venereum, or the unintended result of surgery, such as episiotomy or sex reassignment surgery. They may present as a complication of vaginal surgery, including vaginal hysterectomy. They are a recognized presentation of rectal carcinoma or rarely diverticular disease of the bowel or Crohns disease. They are seen rarely after radiotherapy treatment for cervical cancer. Treatment
After diagnosing rectovaginal fistula, it is best to wait for around three months to allow the inflammation to subside. For low fistulae, a vaginal approach is best, while an abdominal repair would be necessary for a high fistula at the posterior fornix.A circular incision is made around the fistula and vagina is separated from the underlying rectum with a sharp circumferential dissection. The entire fistulous tract, along with a small rim of rectal mucosa is incised. The rectal wall is then closed extramucosally.Most rectovaginal fistulas will need surgery to fix. Medications such as antibiotics and Infliximab might be prescribed to help close the rectovaginal fistula or prepare for surgery. References
External links
Rectovaginal fistula at Curlie