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Risk of Fecal Incontinence Following Receptive Anal Intercourse: Survey of 21,762 Men Who Have Sex With Men

Aurélien Garros1, Michel Bourrely2, Luis Sagaon-Teyssier2

  • 1CH ST Joseph ST LUC - Gastroenterologie, Lyon, Auvergne-Rhône-Alpes, France.

The Journal of Sexual Medicine
|October 14, 2021
PubMed
Abstract

Insights

Receptive anal intercourse (RAI) is linked to increased fecal incontinence (FI) risk in men who have sex with men (MSM). Factors like chemsex and higher RAI frequency elevate this risk.

Area of Science:

  • Sexual Health
  • Gastroenterology
  • Public Health

Background:

  • Receptive anal intercourse (RAI) prevalence is rising.
  • Limited research exists on the association between RAI and fecal incontinence (FI).

Purpose of the Study:

  • To determine FI prevalence in men who have sex with men (MSM) who engage in RAI.
  • To identify risk factors associated with severe FI in this population.

Main Methods:

  • An online survey was conducted in 2019 with 24,308 MSM.
  • Data collected included demographics, socioeconomic status, RAI practices, and FI using a specific questionnaire.

Main Results:

  • Fecal incontinence (FI) was reported by 8% of participants (1,734 individuals).
  • FI prevalence increased with RAI frequency (12.7% for RAI ≥ 1/week vs. 5.7% for no RAI).
  • Key risk factors identified were older age, low socioeconomic status, HIV-seropositivity, high RAI frequency, chemsex, and fist-fucking.

Conclusions:

  • This study identified significant risk factors for FI in MSM engaging in RAI.
  • Frequent RAI, chemsex, fist-fucking, and low socioeconomic status are associated with increased FI risk.
Keywords:
Fecal incontinenceMen who have sex with menReceptive anal intercourse

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