Cute Boy Wanking

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KidsHealth /
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For Boys: Trouble "Down There"

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You see it in movies all the time. Some guy gets hit right in the privates. Yow! If you're a boy, you probably already know your penis and scrotum are sensitive. Why? And more important, what do you do if you're having pain or another problem "down there"?
You might have grown up calling it something else, but penis (say: PEE-niss) is the official word for this part of a boy's body. The scrotum (say: SKRO-tum) is the sac that hangs below and holds two small organs called testicles (say: TESS-tih-kulz).
The bones of your ribcage protect your heart and lungs. Muscles protect other internal organs, like your liver and kidneys. But unless you count your underwear, there's no protection for a boy's penis or scrotum. This area also has a lot of nerve endings — which make it extra-sensitive — so if a soccer ball accidentally whams into a boy in that spot, it really hurts.
Unfortunately, there are lots of ways for a boy to hurt his penis or scrotum. It can happen while he's riding his bike or playing sports . It can happen if someone bumps or kicks a boy there. Some sports require boys to wear special underwear with a shield, called an athletic cup, to protect the penis and scrotum, but most of the time boys don't wear this kind of protection.
The good news is that these injuries are not usually serious, though a boy will usually feel pain and could even feel nauseated for a while. The testicles are loosely attached to the body and are made of a spongy material, so they're able to absorb most collisions without permanent damage. Minor injuries don't usually cause long-term problems. But it's a good idea to tell a parent if you get this kind of injury, just in case.
If it's a minor injury, the pain should slowly go away in less than an hour. Meanwhile, your mom or dad could give you an ice pack to apply and some pain relievers to take. You also could lie down and take it easy for a while.
Sometimes, the injury might be more serious. Make sure you tell a parent so you can see a doctor if:
These are signs of a more serious injury, so seeing a doctor is a must.
It's also possible a boy might have pain in his scrotum or testicles, even if he didn't get injured or bumped. In that case, it could be an infection or other problem, so it's important that the boy tell his mom or dad.
Another kind of problem — a urinary tract infection (UTI) — can cause burning when a boy pees. Rashes and other infections can make a boy feel itchy or cause pain in the private zone. The bottom line is that a parent needs to know so the boy can get medical care.
Lots of boys don't like the idea of telling anyone about a problem with their penis, testicles, or scrotum. The good news is that a boy doesn't have to tell everyone — like his whole class! He just needs to tell his mom, dad, or another adult who can get him to the doctor, if needed.
It might be a little embarrassing, but if the problem isn't treated, it could get much worse and be really uncomfortable. We know one boy who found a tick on his scrotum. Good thing he told his mom and she could remove it. That was one rude tick!
Note: All information on KidsHealth® is for educational purposes only. For specific medical advice, diagnoses, and treatment, consult your doctor.
© 1995-2022. The Nemours Foundation. Nemours Children's Health® and KidsHealth® are registered trademarks of The Nemours Foundation. All rights reserved.
Images provided by The Nemours Foundation, iStock, Getty Images, Veer, Shutterstock, and Clipart.com.

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Volume 89, Issue 3
Gratification disorder (“infantile masturbation”): a review

Community child health, public health, and epidemiology
Gratification disorder (“infantile masturbation”): a review
1 Neurology department, Paediatric Hospital No. 1, Kyiv, Ukraine 2 Department Community Child Health, Royal Hospital for Sick Children, Yorkhill, Glasgow G3 8SJ, UK 3 Fraser of Allander Neurosciences Unit, Royal Hospital for Sick Children, Yorkhill, Glasgow G3 8SJ, UK
Leung AK , Robson WL. Childhood masturbation. Clin Pediatr 1993 ; 32 : 238 –41.
Wulff CH , Ostergaard JR, Storm K. Epileptic fits or infantile masturbation? Seizure 1992 ; 1 : 199 –201.
Livingston S , Berman W, Pauli LL. Masturbation simulating epilepsy. Clin Pediatr 1975 ; 14 : 232 –4.
Fleisher DR , Morrison A. Masturbation mimicking abdominal pain or seizures in young girls. J Pediatr 1990 ; 116 : 810 –14.
Couper RT , Huynh H. Female masturbation masquerading as abdominal pain. J Paediatr Child Health 2002 ; 38 : 199 –200.
Mink JW , Neil JJ. Masturbation mimicking paroxysmal dystonia or dyskinesia in a young girl. Mov Disord 1995 ; 10 : 518 –20.
Finkelstein E , Amichai B, Jaworowski S, et al. Masturbation in prepubescent children: a case report and review of the literature. Child Care Health Dev 1996 ; 22 : 323 –6.
Stephenson JBP . Fits and faints . London: MacKeith Press, 1990 : 143 .
Meizner I . Sonographic observation of in utero fetal “masturbation”. J Ultrasound Med 1987 ; 6 : 111 .
Holmes GL , Russman BS. Shuddering attacks. Evaluation using electroencephalographic frequency modulation radiotelemetry and videotape monitoring. Am J Dis Child 1986 ; 140 : 72 –3.

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Background: Little has been published on gratification disorder (“infantile masturbation”) in early childhood.
Aims: To expand on the profile of patients diagnosed with this condition.
Methods: Retrospective case note review; Fraser of Allander Neurosciences Unit paediatric neurology outpatient department 1972–2002.
Results: Thirty one patients were diagnosed (11 males and 20 females). Twenty one were referred for evaluation of possible epileptic seizures or epilepsy. The median age at first symptoms was 10.5 months (range 3 months to 5 years 5 months). The median age at diagnosis was 24.5 months (range 5 months to 8 years). The median frequency of events was seven times per week, and the median length 2.5 minutes. Events occurred in any situation in 10 children, and in a car seat in 11. Types of behaviour manifested were dystonic posturing in 19, grunting in 10, rocking in 9, eidetic imagery in 7, and sweating in 6. Two children had been previously diagnosed as having definite epilepsy. In nine cases home video was invaluable in allowing confident diagnosis.
Conclusion: Gratification disorder, otherwise called infantile masturbation, is an important consideration in the differential diagnosis of epilepsy and other paroxysmal events in early childhood. Home video recording of events often prevents unnecessary investigations and treatments.
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The term masturbation is derived from the Latin words manus, meaning “hand” and stupratio, meaning “defilement”. One presumes historically therefore that it was a practice thought to be unclean. It is accepted now that masturbation is a normal part of human sexual behaviour.
There is little published on gratification disorder (masturbation) in early childhood. Masturbation, or self-stimulation of the genitalia is a common human behaviour, said to occur in 90–94% of males and 50–60% of females at some time in their lives. 1
Paediatricians are in general aware of the fact that infantile and pre-adolescent masturbatory activity occurs, but are perhaps less aware of the spectrum of different behaviour patterns these children may display. Masturbatory activity in infants and young children is difficult to recognise because it often does not involve manual stimulation of the genitalia at all. 4
Masturbatory behaviour has been mistaken for epilepsy, 2, 3 abdominal pain, 4, 5 and paroxysmal dystonia or dyskinesia. 6 Case reports have also highlighted that these children have many unwarranted investigations: blood analyses, metabolic screening, abdomen ultrasound screening, gastrointestinal radiography, 2 cerebrospinal fluid examination, skull x ray examination, brain scan, 3 pyelography, and cystoscopy-vaginoscopy-proctoscopy under general anaesthesia. 4 Treatment with antiepileptic medications has been given on several occasions. 2, 3, 6
This study aims to highlight and expand on the profile of patients diagnosed with this condition.
Children were identified retrospectively from those referred to the Fraser of Allander Neurosciences Unit, a tertiary neurology referral centre covering primarily the West of Scotland, between the years 1972 and 2002. In the 30 year period studied a database was maintained for all children who were reviewed in the unit according to diagnosis. A retrospective case note study was carried out in those children with the diagnostic labels of gratification disorder and/or infantile masturbation.
Thirty one patients were studied (11 males and 20 females). Eighteen came from homes where the parents were married/co-habiting; in four cases there was a single parent. There was no social class bias. Significant past medical histories were one child each with reflex anoxic seizures, neonatal seizures (undiagnosed), and megalencephaly.
The most common reason for referral was for possible epileptic seizures in 21 children. Ninety percent of these were boys and 50% girls. Other reasons for referral were dystonia in one, abdominal pain in one, and diagnosed masturbation in one. In eight children no diagnosis of the nature of the events had been made before referral to the unit.
The age of first symptoms was variable. Fifteen children were aged less than 1 year when they first developed symptoms. The mean age of the first event was 12.5 months (median 10.5 months, range 2 months to 5 years 5 months). The age at diagnosis of gratification varied from 5 months to 8 years (mean 35 months, median 24.5 months). The range of delay to the time of the correct diagnosis was 1 month to 5 years 9 months (mean 16 months, median 11 months).
The frequency of events varied from 1/week to 12/day (mean of 16/week, median 7/week). The mean length of events was 9 minutes (median 2.5 minutes, range 30 seconds to 2 hours). There was no correlation between the frequency of events and their duration.
Events occurred in any situation in 10 children. The most common specific location was the car seat, occurring in 11 children. In five of the children, events were observed in relation to sleeping. Five patients were symptomatic when bored, three children when tired, two when in front of the television, and two in a baby walker. Events were also noticed in a high chair (n = 1), lying on the floor, during nappy changing (n = 1), or when the child was upset (n = 1).
Behaviours during events included apparent dystonia in 19, grunting noises in 10, rocking in 9, assumed eidetic imagery (“telly in the sky”) in 7, and sweating in 6. In four patients the events of gratification led to fatigue; in four children sleep was induced. One child each displayed cyanosis, lip smacking, staring, shaking, pallor, giggling, and appearing frightened.
Twelve children in our group had been investigated prior to the paediatric neurology referral and diagnosis: seven patients had a standard EEG; four patients had a prolonged EEG monitoring, one with video; two had a brain computed tomography scan; one had electrolytes and blood count measured; and one had a barium swallow and Ph study.
Two children had been given a firm diagnosis of epilepsy prior to referral. One of them had received carbamazepine for presumed temporal lobe epilepsy; the other notably had not been immunised against pertussis because of the presumed diagnosis of epilepsy, and subsequently developed the disease pertussis.
In nine cases home video recording was invaluable in allowing a confident diagnosis.
Masturbation in children is commonly recognised to be a variant of normal behaviour. 1 Once the diagnosis is made and there are no suspicions of child sexual abuse requiring further investigation and management, reassurance seems to be the most effective management. 7 Parents prefer the term gratification (or even benign idiopathic infantile dyskinesia) to infantile masturbation as there is less social stigma attached to these terms.
The results of this study, the largest yet published, confirm the position that gratification is most commonly misdiagnosed as epilepsy as has been well discussed by previous authors with smaller series. 3, 4 Dystonia and abdominal pains have also presented as the referral diagnosis. Fleisher and Morrison 4 and Couper and Huynh 5 have described very dramatic examples of masturbation mimicking abdominal pai
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