2023-11-01 19:30:00
Reminder: what is “sodomy”?
Sodomy refers to the practice of anal coitus, that is to say the sexual practice consisting of anal penetration by a finger, by an object (sex toy) or by a penis.
What is a urinary tract infection?
“Urinary infection occurs when bacteria, most often of digestive origin (Escherichia coli in more than 80% of cases) colonize one or more organs of the urinary system (urethra, bladder, kidney or prostate”, indicates Dr Axel Egal. It is more common in women, due to a larger urethra shorter than in men, thus facilitating the rise of fecal bacteria towards the bladder. Cystitis (bladder infection) represents 95% of urinary infections.
When to worry?
In case of itching, burning, oozing of fluid, increased urination, and a very frequent need to urinate, it will be important to consult a doctor quickly. Indeed, lower urinary tract infection (cystitis) must be quickly treated with antibiotics, otherwise there is a risk that the infectious agent will multiply and invade the upper urinary tract, thus leading to pyelonephritis (kidney infection). .
Link between sodomy and urinary infection?
There is no increased risk of urinary infection in either women or men in the event of anal intercourse. Dr Axel Egal, proctologist.
Urinary tract infection is neither transmissible nor contagious. On the other hand, movements during sexual intercourse can introduce bacteria into the urethra and generate microlesions on the vaginal walls, which facilitates the rise of bacteria into the bladder (post-coital cystitis). To prevent this risk, it is advisable to urinate following sexual intercourse.
Also note: “There is also no link with urinary incontinence in either men or women,” continues the doctor.
What other infections can be transmitted during sex?
Unprotected sex (anal or vaginal) can promote occurrence of STIs (sexually transmitted infections), viral (hepatitis A, B and C, herpes) or bacterial (syphilis, gonococcus, chlamydia, mycoplasma). “HIV transmission is also more frequent in the case of unprotected anal intercourse than in the case of vaginal intercourse, because there is a risk of microcracks during intercourse,” notes Dr. Axel Egal. The use of lubricant during protected anal sex is therefore recommended because it reduces the risk of the condom breaking.
Unprotected anal sex can also lead to spread of parasites (giardase, amibiase).
Finally, if the transmission of human papillomavirus, which is also called HPV (Human Papillomavirus) is reduced by the condom, it is not impossible, “especially if there are active lesions in the partner (condyloma) because this virus also affects the skin around the organs genitals,” explains the proctologist. As a reminder, vaccination reduces the risk of catching certain papillomaviruses, especially if it is carried out before the age of first sexual intercourse. “Universal vaccination would also reduce lesions linked to papillomavirus and make the risk of HPV-related anal cancer almost non-existent,” adds the doctor.
Precautions to take for safe anal sex
In order to reduce certain risks, some precautions can be taken:
- Wear a condom and pay special attention to lubrication.
- Avoid going from anal penetration to vaginal penetration without cleaning to prevent the risk of urinary infection.
- Ensure good anal and genital hygiene.
- Perform a rectal enema before intercourse if it will make you more comfortable.
- Adopt positions suitable for anal sex.
- Stop intercourse if there is pain.
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