Urolagnia is also known as urophilia, unidism, golden showers or watersports. It is a paraphilia in which the sexual interest of the individual typically centers on urine. Paraphilias are a group of persistent sexual behavior patterns in which unusual objects, rituals or situations are required for sexual satisfaction. Although mild forms of these conditions probably have occurred in the lives of many normal people, a paraphilic person is distinguished by the insistence and relative exclusivity with which his or her sexuality focuses on the acts or objects in question without which orgasm is often impossible.

In urolagnia, urine is the most common form of sexual preference. The mode of using urine to achieve sexual excitation and gratification varies considerably, but it commonly involves urges related to urinating or smelling urine or urinating on the body or in the mouth of the sexual partner. Fetishism does not normally interfere with the rights of others, except in an incidental way such as forcing the partner to perform various acts and rituals that are objectionable.

Urolagnia and health concerns:

As compared to practices such as coprophilia, this disorder generally considered to be harmful s the urine of healthy individuals is sterile. However, if bacteria or other infections are present in the urine it may result in skin rashes and other disorders. Urine is generally safe to drink in small quantities but the main dangers include the presence of high salt and mineral content if the urine is not sufficiently diluted and not consumed in mass quantities.

Treatment:

One of the most prominent problems in the treatment of this disorder is that most foot fetishists do not seek professional treatment for the condition, but rather receive it only when they have been caught in the act or on request of their sexual partner. Thus, their motivations for change may often stem from a desire to do it for someone else rather than from a genuine desire to change.

Treatments that combine cognitive and behavioral elements have been moderately successful in effecting changes in deviant arousal and behavior patterns of fetishists. Moreover, there is increasing evidence that these treatments can result in significantly reduced rates of recidivism than seen in untreated individuals.

Another key component of treatment involves techniques commonly known as aversion therapy— aversive conditioning to deviant sexual fantasies. Other important forms of treatment comprise of cognitive behavioral programs that include social skills training and restructuring cognitive distortions that may be helping to maintain the deviant sexual arousal and behavior patterns.