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By contrast to other anal sexual behaviors, anal fisting poses a more serious danger of damage due to the deliberate stretching of the anal and rectal tissues; anal fisting injuries include anal sphincter lacerations and rectal and sigmoid colon (rectosigmoid) perforation, which might result in death.[5][84]
Reports regarding the prevalence of anal sex among gay men and other men who have sex with men vary. A survey in The Advocate in 1994 indicated that 46% of gay men preferred to penetrate their partners, while 43% preferred to Lorsque the receptive partner.[56] Other fontaine suggest that roughly three-fourths of gay men have had anal sex at Nous time or another, with année equal percentage participating as tops and bottoms.
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