Sex with Animals (SWA): Behavioral Characteristics and Possible Association with Penile Cancer. A Multicenter Study

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dc.contributor.authorZequi, Stenio de Cassio
dc.contributor.authorGuimaraes, Gustavo Cardoso
dc.contributor.authorFonseca, Francisco Paulo da
dc.contributor.authorFerreira, Ubirajara
dc.contributor.authorMatheus, Wagner Eduardo de
dc.contributor.authorReis, Leonardo Oliveira
dc.contributor.authorAita, Giuliano Amorim
dc.contributor.authorGlina, Sidney
dc.contributor.authorSoares Fanni, Victor Silvestre
dc.contributor.authorCardenuto Perez, Marjo Denisson
dc.contributor.authorMontez Guidoni, Luiz Renato
dc.contributor.authorOrtiz, Valdemar [UNIFESP]
dc.contributor.authorNogueira, Lucas
dc.contributor.authorAlmeida Rocha, Luis Carlos de
dc.contributor.authorCuck, Gustavo
dc.contributor.authorCosta, Walter Henriques da
dc.contributor.authorMoniz, Ravendra Ryan
dc.contributor.authorDantas, Jose Hipolito
dc.contributor.authorSoares, Fernando Augusto
dc.contributor.authorLopes, Ademar
dc.contributor.institutionHosp AC Camargo Fund Antonio Prudente
dc.contributor.institutionUniversidade Estadual de Campinas (UNICAMP)
dc.contributor.institutionHosp Sao Marcus
dc.contributor.institutionHosp Ipiranga
dc.contributor.institutionFCMSCSP
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionUniversidade Federal de Minas Gerais (UFMG)
dc.contributor.institutionUniversidade Federal do Paraná (UFPR)
dc.contributor.institutionHosp Aeronaut São Paulo
dc.contributor.institutionUrol Serv Hosp
dc.contributor.institutionUniv Fed Rio Grande do Norte
dc.date.accessioned2016-01-24T14:27:27Z
dc.date.available2016-01-24T14:27:27Z
dc.date.issued2012-07-01
dc.description.abstractIntroduction. Zoophilia has been known for a long time but, underreported in the medical literature, is likely a risk factor for human urological diseases. Aim. To investigate the behavioral characteristics of sex with animals (SWA) and its associations with penile cancer (PC) in a case-control study. Methods. A questionnaire about personal and sexual habits was completed in interviews of 118 PC patients and 374 controls (healthy men) recruited between 2009 and 2010 from 16 urology and oncology centers. Main Outcome Measures. SWA rates, geographic distribution, duration, frequency, animals involved, and behavioral habits were investigated and used to estimate the odds of SWA as a PC risk factor. Results. SWA was reported by 171 (34.8%) subjects, 44.9% of PC patients and 31.6% of controls (P < 0.008). the mean ages at first and last SWA episode were 13.5 years (standard deviation [SD] 4.4 years) and 17.1 years (SD 5.3 years), respectively. Subjects who reported SWA also reported more venereal diseases (P < 0.001) and sex with prostitutes (P < 0.001), and were more likely to have had more than 10 lifetime sexual partners (P < 0.001) than those who did not report SWA. SWA with a group of men was reported by 29.8% of subjects and SWA alone was reported by 70.2%. Several animals were used by 62% of subjects, and 38% always used the same animal. the frequency of SWA included single (14%), weekly or more (39.5%), and monthly episodes (15%). Univariate analysis identified phimosis, penile premalignancies, smoking, nonwhite race, sex with prostitutes, and SWA as PC risk factors. Phimosis, premalignant lesions, smoking, and SWA remained as risk factors in multivariate analysis. However, SWA did not impact the clinicopathological outcomes of PC. Conclusion. SWA is a risk factor for PC and may be associated with venereal diseases. New studies are required in other populations to test other possible nosological links with SWA. Zequi SC, Guimaraes GC, da Fonseca FP, Ferreira U, de Matheus WE, Reis LO, Aita GA, Glina S, Fanni VSS, Perez MDC, Guidoni LRM, Ortiz V, Nogueira L, Rocha LCA, Cuck G, da Costa WH, Moniz RR, Dantas Jr. JH, Soares FA, and Lopes A. Sex with animals (SWA): Behavioral characteristics and possible association with penile cancer. A multicenter study. J Sex Med 2012;9:18771884.en
dc.description.affiliationHosp AC Camargo Fund Antonio Prudente, Pelv Surg Dept, Div Urol, BR-01509010 São Paulo, Brazil
dc.description.affiliationUniv Estadual Campinas, UNICAMP, Div Urol, Campinas, SP, Brazil
dc.description.affiliationHosp Sao Marcus, Dept Urol, Teresina, PI, Brazil
dc.description.affiliationHosp Ipiranga, Div Urol, São Paulo, Brazil
dc.description.affiliationFCMSCSP, Dept Surg, Div Urol, São Paulo, SP, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, UNIFESP, Dept Urol, São Paulo, Brazil
dc.description.affiliationUniv Fed Minas Gerais, Dept Urol, Belo Horizonte, MG, Brazil
dc.description.affiliationUniv Fed Parana, Hosp Clin UFPR, Dept Urol, BR-80060000 Curitiba, Parana, Brazil
dc.description.affiliationHosp Aeronaut São Paulo, Div Urol, São Paulo, SP, Brazil
dc.description.affiliationUrol Serv Hosp, Geral de Carapicuiba, SP, Brazil
dc.description.affiliationUniv Fed Rio Grande do Norte, Hosp Univ Onofre Lopes, UFRN, Genitourinary Dis Disciplin, BR-59072970 Natal, RN, Brazil
dc.description.affiliationHosp AC Camargo Fund Antonio Prudente, Surg & Invest Pathol Dept, BR-01509010 São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, UNIFESP, Dept Urol, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent1860-1867
dc.identifierhttp://dx.doi.org/10.1111/j.1743-6109.2011.02512.x
dc.identifier.citationJournal of Sexual Medicine. Hoboken: Wiley-Blackwell, v. 9, n. 7, p. 1860-1867, 2012.
dc.identifier.doi10.1111/j.1743-6109.2011.02512.x
dc.identifier.issn1743-6095
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/35076
dc.identifier.wosWOS:000305976700014
dc.language.isoeng
dc.publisherWiley-Blackwell
dc.relation.ispartofJournal of Sexual Medicine
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.rights.licensehttp://olabout.wiley.com/WileyCDA/Section/id-406071.html
dc.subjectSex with Animalsen
dc.subjectBestialityen
dc.subjectPenile Canceren
dc.subjectZoophiliaen
dc.subjectRisk Factoren
dc.subjectSexually Transmitted Diseasesen
dc.subjectHPVen
dc.titleSex with Animals (SWA): Behavioral Characteristics and Possible Association with Penile Cancer. A Multicenter Studyen
dc.typeinfo:eu-repo/semantics/article
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