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]
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As with most forms of sexual activity, anal sex participants risk contracting sexually transmitted infections (STIs). Anal sex is considered a high-risk sexual practice parce que of the vulnerability of the anus and rectum. The anal and rectal tissue are delicate and ut not provide lubrication like the vagina does, so they can easily tear and permit disease progrès, especially if a personal lubricant is not used.