Ouch!

Just when it seems that I have heard or conceived of every possible sexual paraphilia, I hear about or have a patient who performs another one. Yesterday a urologist who was doing a consult in the ER told me of his days of being a resident in a big, inner city hospital. The hospital was near a neighbourhood with a large gay male population. He had one such young male patient who saw him for about one UTI per month. After several visits, he asked the patient if he did anything regularly that might have predisposed him to the frequent infections since it is not that common for young, healthy men to get cystitis. He said “Well, I am a wine steward at a club”. The urologist then asked why that would predispose him to UTI’s? He then went on to describe what being a “wine steward” at this particular underground club entailed. What he would do was to void and completely empty his bladder. Then, another worker who evidently knew something about medicine, would insert a foley catheter into his bladder. Now it gets good. The guy would then pour/squirt about a half a litre of wine into the catheter and fill his bladder. You can see where this is going…..shudder. He would then walk through the club “dispensing” the wine into the eager patron’s awaiting wine glasses and mouths via his urethra. I wonder if anyone was ever able to tell if the wine was corked!

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