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Description:The consultant eventually referred him for psychotherapy due to the distressing impact of the insertion behavior and the hospitalization. He had no visitors during his hospitalization. Numerous reports attest that anxiety and shame are commonly experienced by inserters particularly those who do so for sexual gratification on initial presentation to the hospital. These matters may be particularly important in regard to urethral and rectal insertions, as there is anecdotal evidence that insertion by these routes may be correlated with telltale psychosexual themes including sadistic fantasies, isolation, and a perception of having had an overbearing parent. Emergent and surgical interventions for injuries associated with eroticism: Removal of a strangulating metal bearing from the penis.
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