Simon was twenty years-old, physically healthy but suffering from urolagnia, or urination fetishism disorder. Unable to attain sexual arousal and gratification without imagining and listening to the sound of a woman urinating left him feeling extremely distressed and unhappy. His urolagnia fetish was obsessive and comorbid with erectile dysfunction, severe depression and personality disorder. He found it very hard to speak openly about his issues and felt deeply ashamed.
People with a fetish disorder often feel embarrassed and alone. Urolagnia fetishism, like many other fetishes, commonly begins in puberty or childhood. An engagement with a fetish is initially perceived as wrong, so sufferers often hide and try to fight their abnormal urges. Urolagnia fetish disorder frequently includes sexual fantasies and sex performed in a very prescribed way, such as domination or submissiveness, sadism or masochism, humiliation or worship. Urolagnia is one of many fetish variations, such as fetishism for tights, sneezing, strangling, cross-dressing, or nappy wearing.
A fetish is a coping mechanism which enables sexual intimacy and gratification. An engagement with a fetish gives a momentary feeling of pleasure replaced shortly after by feelings of disgust and self-hatred. A pleasurable relief associated with urolagnia fetish is short-lived, becomes obsessive, and worsens mental health with time. For many, their fetish becomes their sole means of sexual gratification, replacing the normal means of sexual arousal and gratification with objectification, eventually removing the capacity for sexual fulfilment via conventional sex.
What causes a fetish?
Fetishism develops due to unhealthy relationships with parents and childhood traumas. Those afflicted with a fetish typically suffer from low self-esteem, intimacy issues, sexual inhibitions, anger, shame, personality disorders, erectile dysfunction and anxiety.
As Simon healed from the multiple psychological problems driving his urolagnia fetishist urges, his obsessive-compulsive desire for urination sounds and fantasies immediately ceased. He stopped objectifying woman and became open and interested in forming interpersonal relationships with them. He recovered his body’s natural healthy responses to conventional sexual stimuli and healed from erectile disfunction.