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Affiliation
1 Department of Gynaecology and Obstetrics, Hopital Privé de Parly 2, Le Chesnay, France; AIUS (Association Inter disciplinaire post Universitaire de Sexologie), Pérols, France.
Samuel Salama et al. J Sex Med. 2015 Mar.
Affiliation
1 Department of Gynaecology and Obstetrics, Hopital Privé de Parly 2, Le Chesnay, France; AIUS (Association Inter disciplinaire post Universitaire de Sexologie), Pérols, France.
Introduction: During sexual stimulation, some women report the discharge of a noticeable amount of fluid from the urethra, a phenomenon also called "squirting." To date, both the nature and the origin of squirting remain controversial. In this investigation, we not only analyzed the biochemical nature of the emitted fluid, but also explored the presence of any pelvic liquid collection that could result from sexual arousal and explain a massive fluid emission.
Methods: Seven women, without gynecologic abnormalities and who reported recurrent and massive fluid emission during sexual stimulation, underwent provoked sexual arousal. Pelvic ultrasound scans were performed after voluntary urination (US1), and during sexual stimulation just before (US2) and after (US3) squirting. Urea, creatinine, uric acid, and prostatic-specific antigen (PSA) concentrations were assessed in urinary samples before sexual stimulation (BSU) and after squirting (ASU), and squirting sample itself (S).
Results: In all participants, US1 confirmed thorough bladder emptiness. After a variable time of sexual excitation, US2 (just before squirting) showed noticeable bladder filling, and US3 (just after squirting) demonstrated that the bladder had been emptied again. Biochemical analysis of BSU, S, and ASU showed comparable urea, creatinine, and uric acid concentrations in all participants. Yet, whereas PSA was not detected in BSU in six out of seven participants, this antigen was present in S and ASU in five out of seven participants.
Conclusions: The present data based on ultrasonographic bladder monitoring and biochemical analyses indicate that squirting is essentially the involuntary emission of urine during sexual activity, although a marginal contribution of prostatic secretions to the emitted fluid often exists.
Keywords: Female Ejaculation; Female Orgasm; Gushing; Squirting; Urinary Incontinence.
© 2014 International Society for Sexual Medicine.
Pastor Z, Chmel R. Pastor Z, et al. Int Urogynecol J. 2018 May;29(5):621-629. doi: 10.1007/s00192-017-3527-9. Epub 2017 Dec 28. Int Urogynecol J. 2018. PMID: 29285596 Review.
Rubio-Casillas A, Jannini EA. Rubio-Casillas A, et al. J Sex Med. 2011 Dec;8(12):3500-4. doi: 10.1111/j.1743-6109.2011.02472.x. Epub 2011 Oct 13. J Sex Med. 2011. PMID: 21995650
Salama S, Boitrelle F, Gauquelin A, Lesaffre C, Thiounn N, Desvaux P. Salama S, et al. Gynecol Obstet Fertil. 2015 Jun;43(6):449-52. doi: 10.1016/j.gyobfe.2015.04.012. Epub 2015 May 21. Gynecol Obstet Fertil. 2015. PMID: 26004023 Review. French.
Pastor Z. Pastor Z. J Sex Med. 2013 Jul;10(7):1682-91. doi: 10.1111/jsm.12166. Epub 2013 May 1. J Sex Med. 2013. PMID: 23634659 Review.
Hara R, Nagai A, Nakatsuka T, Ohira S, Fujii T, Miyaji Y. Hara R, et al. IJU Case Rep. 2018 Oct 10;1(1):19-21. doi: 10.1002/iju5.12021. eCollection 2018 Nov. IJU Case Rep. 2018. PMID: 32743357 Free PMC article.
Pastor Z, Chmel R. Pastor Z, et al. Int Urogynecol J. 2018 May;29(5):621-629. doi: 10.1007/s00192-017-3527-9. Epub 2017 Dec 28. Int Urogynecol J. 2018. PMID: 29285596 Review.
Mota RL. Mota RL. Int Braz J Urol. 2017 Jan-Feb;43(1):20-28. doi: 10.1590/S1677-5538.IBJU.2016.0102. Int Braz J Urol. 2017. PMID: 28124522 Free PMC article. Review.
Pfaus JG, Quintana GR, Mac Cionnaith C, Parada M. Pfaus JG, et al. Socioaffect Neurosci Psychol. 2016 Oct 25;6:32578. doi: 10.3402/snp.v6.32578. eCollection 2016. Socioaffect Neurosci Psychol. 2016. PMID: 27791968 Free PMC article.

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