Sodomy: A Public Health Risk

- A 1997 study in British Columbia found the life expectancy of men who engage in sodomy to be comparable to that of the average Canadian man in 1871. Researchers estimate thatnearly half of the 20 year old men currently engaging in sodomy will not reachtheir 65th birthday.1

- Ninety-five percent or more of the AIDS infections among gay men result from receptive anal intercourse.2

- The risk of anal cancer "soars" by nearly 4,000% for men who have sex with men. The rate doubles again for those who are HIV positive. A Michigan homosexual newspaper admits there is no such thing as "safe sex" to prevent this "soaring" cancer risk. Condoms offer only limited protection.3

- Homosexual men face a significantly higher risk of HIV/AIDS, hepatitis, anal cancer, gonorrhea and gastrointestinal infections as a result of their sexual practices.4

- Men who engage in sodomy are 860% more likely to contract a sexually transmitted disease (STD), increasing up to 500% their risk of contracting HIV/AIDS. Men who commit acts of sodomy with men have large numbers of anonymous partners, which can result in rapid, extensive transmission of STDs. Control of STDs is a central component of HIV infection prevention in the United States; resurgence of bacterial STDs threatens national HIV infection prevention efforts.5

- Anal Human Papillomavirus (HPV) infection is nearly universal among HIV-positive homosexual or bisexual men and about 60% in HIV-negative men exhibiting the same sexual behavior.6

- Many innocent victims suffer the health consequences associated with sodomy as a result of blood transfusions, rape and having normal sexual relations with those who have committed unnatural relations with others. While men of all ages who commit sodomy with other men remain at an alarming risk, young bisexual men are said to be a significant "bridge" for HIV transmission to women.7

- Women who commit sex acts with other women face a significantly higher risk of bacterial vaginosis, breast cancer and ovarian cancer than heterosexual women.8

- The spread of Human Papilomavirus (HPV) is not prevented by condoms. The persons most susceptible to cancer associated with HPV are young women (under 20) and people who practice anal intercourse.9

- Women who engage in receptive anal sex are at a higher risk for contracting anal cancer. In fact, in the U.S. general population, anal cancer is more prevalent among women than men — between 1.5 and 2 times more common, perhaps because more women than men engage in receptive anal sex.10

- The following chart provides a broad synopsis of medical problems related to sodomy:11

Sex Practice:	Potential Consequences:
1. Close Body Contact	1. Pubic lice 2. Scabies (mites) 3. Fungal Infections
2. Performer of Oral Sex	1. Oral gonorrhea 2. Oral lesions from herpes, HPV (warts), chancroid, lymhogranuloma venereum, or granuloma inguinale. 3. Nongonolococcal pharyngitis from chlamydia, other STD's 4. Syphilis 5. Hepatitis B 6. Enteric (intestinal) infections
3. Receptive Anal Intercourse	1. Traumatic proctitis 2. Rectal gonorrhea 3. Anal warts 4. HIV/AIDS 5. Nonspecific procitis (from chlamydia and other STDs) 6. Anorectal herpes 7. Anorectal syphilis 8. Hepatitis B 9. Rectal trichomoniasis 10. Lymphogranuloma venereum 11. Anorectal granuloma inguinale 12. Anorectal chancroid 13. Cytomegalovirus 14. Anorectal candidiasis
4. Receptive Manual-Anal Intercourse	1. Enteric (intestinal) infections
5. Receiver of Oral Sex	1. Physical abrasions 2. Bites 3. Herpes 4. Urethritis from various STDs
6. Insertive Anal Intercourse	1. Nongonococcal urethritis 2. Genital herpes 3. Molluscum contagiosum 4. Genital warts 5. Syphilis 6. Trichomoniasins 7. Epididymitis and/or proctitis 8. Fungal infections 9. Lymphogranuloma vencreum 10. Granuloma inguinale 11. Chancroid 12. Hepatitis B 13. HIV/AIDS
7. Oral-anal Intercourse	1. Enteric (intestinal) infections 2. Shigellosis 3. Campylobacter fetus (bacteria) 4. Enterogenic E. coli bacteria 5. Hepatitis (A, B, and others) 6. Amebiasis 7. Giardiasis 8. Salmonellosis 9. Enterobius vermicularis (parasite) 10. Oral warts 11. Oral gonorrhea 12. Syphilis 13. Lymphogranuloma venereum 14. Oral granuloma inguinale 15. Oral chancroid 16. HIV/AIDS 17. Herpes 18. Anorectal meningococcal infection

A 54-year-old man presented with the complaint that two days earlier he had drunk whiskey and `did something` to his rectum. He was obviously embarrassed and reluctant to explain his problem. Rectal examination revealed a hard, smooth, globular mass. The results of the rest of the physical examination were within normal limits.

When asked specifically, the patient admitted that an electric bulb had been in his rectum for two days. He said he had gotten drunk, accepted a wager of $100 and, using shaving cream as a lubricant, had inserted a 100-watt electric bulb into his rectum. The next day, sober, he realized that he had done a `stupid` thing but believed that the bulb would come out unassisted. After two days he became aware of difficulty defacating, and when he began to experience difficulty urinating, he became frightened and sought medical help.

AP and lateral films of the pelvis verified the location of the electric bulb in the rectum, and the patient was taken to the operating room. He was placed in a face-down position with his hips elevated. The buttocks were separated and held apart by a circular metal ring. With the aid of malleable retractors in the rectum, the electric bulb was visualized, but it was not possible to get a gloved finger over the maximum diameter of the bulb.

Toy darts with suction cup ends were used to draw the electric bulb to the sphincter. After drying the glass surface of the bulb with ethyl ether swabs, we attempted to attach the suction cup end of the dart to the eletric bulb with cyanoacrylate cement. Four attempts of this maneuver were unsuccessful: the cement would not stick.

The patient was then turned to the lithotomy position and another dart was successfully attached to the bulb without any glue, and the bulb was pulled to the sphincter. Three #24 Foley catheters with 30-cc terminal balloons were lubricated with mineral oil and passed over the maximum diameter of the bulb. The catheters were placed at the six, ten and two o`clock positions. Throughout this procedure, a steady pull was maintained on the attached dart.

After it was verified by digital examination that the tips and balloons of the catheters were beyond the maximum diameter of the bulb, the balloons were inflated with 30 cc of water, and about 30 cc of mineral oil was injected into the rectum through a Foley catheter. A steady pull of about five pounds was applied to each catheter, and after about ten minutes the sphincter began to dilate and the bulb began to emerge.

The electric bulb finally came out through the external sphincter with no further complications. Sigmoidoscopic examination showed no bleeding or other injury to the rectal mucosa. After 24 hours of observation, the patient returned home.

The literature describes various methods that have been employed to retrieve foreign bodies from the rectum. Because this electric bulb was a large object (maximum diameter, 61 mm; length from metal end to top, 114 mm) made of fragile glass, special consideration had to be taken to avoid breakage that would have resulted in lacerations to the rectum and adjacent structures, with consequent complications.

Ideally, the bulb should be removed intact from the rectum through the anus. If this is not possible, the abdomen must be opened and the bulb gently squeezed through the rectum and the anus, with great care taken to avoid injuring the rectum. Should this method be unsuccessful, the sigmoid colon must be opened and the bulb removed through the abdominal incision; however, opening the sigmoid colon is a very lenghy procedure with severe morbidity and a prolonged recovery period, and this maneuver should be reserved as an extraordinary measure.

Objects Found Inserted
Glass or ceramic
Bottle or jar
Bottle with attached rope
Glass or cup
Light bulb
Tube
Food
Apple
Banana
Carrot
Cucumber
Onion
Parsnip
Plantain (with condom)
Potato
Salami
Turnip
Zucchini
Wooden
Ax handle
Stick or broom handle
Miscellaneous or unspecified
Sexual Device
Vibrator
Dildo
Kitchen device
Dull knife
Ice pick
Knife sharpener
Mortar pestle
Spatula (plastic)
Spoon
Tin cup
Miscellaneous tools
Candle
Flashlight
Iron rod
Pen
Rubber tube
Screwdriver
Toothbrush
Wire spring
Inflated device
Balloon
Balloon attached to cylinder
Condom
Ball
Baseball
Tennis ball
Miscellaneous containers
Baby powder can
Candle box
Snuff box
Miscellaneous
Bottle cap
Cattle horn
Frozen pig`s tail
Kangaroo tumor
Plastic rod
Stone
Toothbrush holder
Toothbrush package
Whip handle
Collections (one case of each)
2 Glass tubes
72 1/2 Jeweler`s saw
Oil can with potato stopper
Piece of wood, peanut
Umbrella handle and enema tubing
2 Glasses
Phosphorus match ends (homicide)
402 Stones
Toolbox
2 Bars soap
Beer glass and preserving pot
Lemon and cold cream jar
2 Apples
Spectacles, suitcase key, tobacco pouch, and magazine

CASE REPORT

A 20-year-old man presented to the emergency room complaining of rectal pain. A well-nourished, well-developed man without signs of intoxication was admitted in no apparent distress. Digital examination of the rectum revealed a stony hard mass. Abdominal plain films showed a vertically oriented, low-lying radiopaque object in the rectum. A spherical radiolucency was noted in the upper pole of the mass. A blood alcohol level was negative. No other drug testing was performed.

Upon further questioning, the patient said that approximately 4 hrs earlier he and his boyfriend had been "fooling around." After stirring a batch of concrete mix, the patient laid on his back with his feet against the wall at a 45-degree angle while his boyfriend poured the mixture through a funnel into his rectum. After the concrete mass hardened, it became so painful that he sought medical care.

Under general anesthesia, the anus was dilated and two Foley catheters were inserted alongside the rectal mass to relieve suction. A concrete case of the rectum was delivered without incident. The rectal mucosa was intact with a hyperemic and edematous appearance.

The patient was kept overnight and discharged uneventfully the following morning. The attending physician recommended a psychiatric consultation, but the patient declined.

PATHOLOGIC EXAMINATION

Examination of the specimen revealed a perfect concrete cast of the rectum, measuring 12 X 7 X 5 cm and weighing 275 g (Fig. 2). A thin layer of feces coated the surface and crevices. Grooves in the mass were consistent with rectal mucosal folds. A layer of concrete was chipped off the upper part of the specimen and revealed a white plastic ping-pong ball. This corresponded to the radiolucency observed in the abdominal x-ray.

And folks call ME depraved!!!

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