What is urolagnia and how common is it in sexual behavior?

Checked on December 8, 2025
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Executive summary

Urolagnia (also called urophilia or “watersports”) is a sexual paraphilia in which sexual arousal is tied to urine, urination, or the smell/ sight of urine (definition sources: Merriam‑Webster medical, APA dictionary, Collins) [1] [2] [3]. Reliable estimates of how common it is do not exist for the general population; available survey data are limited to kink‑identified samples and headline polls (for example, a 2007 internet‑group count and a UK Channel 4 survey that placed “watersports” ninth among fetishes), and researchers warn these methods under‑report or misrepresent prevalence [4] [5] [6].

1. What urolagnia is — a concise clinical definition

Urolagnia is a paraphilia in which sexual excitement is associated with urine or urination; behaviors range from watching someone urinate, being urinated on, urinating on another, wetting oneself, smelling urine‑soaked clothing, to ingesting urine in rare cases (definitions and behavior lists appear across medical and reference sources) [1] [5] [7].

2. Names, synonyms and common slang

Clinical and popular terminology overlaps: clinicians often use “urolagnia” or “urophilia,” while slang includes “golden showers,” “watersports,” or “pee play.” Dictionaries and sex‑education resources document these synonyms and note the Greek roots ouron (urine) + lagneia (lust) [1] [8] [9].

3. How researchers measure — and why numbers are unreliable

Most quantitative claims come from non‑representative sources: counts of members in internet fetish groups, kink‑community surveys, and popular polls. Sexologists and researchers explicitly warn that such collections over‑represent people who seek communities or clinical help and under‑represent private practice, so you cannot extrapolate these figures to the general population [5] [4] [6].

4. What the available figures say — limited, context‑bound findings

A 2007 internet study noted that 9% of body‑fluid–related fetish groups were grouped with urolagnia among fetish group names — a metric of forum presence, not prevalence in the public [5]. Channel 4’s 2017 Great British Sex Survey ranked watersports ninth among fetishes in the UK, a popularity ranking within a surveyed population rather than a population prevalence rate [4] [5]. Jennifer Rehor’s work and others are cited repeatedly but are narrow in scope and not general‑population epidemiology [4].

5. Clinical framing and when it’s a disorder

Clinical sources and sex‑health sites state urolagnia is a paraphilia; however, it is treated as a diagnosable disorder only if the sexual interest causes marked distress, impairment, or involves non‑consensual or illegal acts — consistent with how paraphilias are classified in clinical manuals (sources note diagnostic nuance rather than blanket pathologizing) [10] [2].

6. Social, sexual‑culture and harm considerations

Advocates and sex‑health writers emphasize consensual practice, harm‑reduction and communication between partners; sex‑education and LGBT resources call for safety, negotiation, and destigmatization where acts are consensual and adults are involved [11] [12]. High‑profile criminal cases that involved urine‑related abuse are discussed in many reference articles to underline the distinction between consensual fetish activity and criminal sexual abuse [4] [6].

7. Competing perspectives and implicit agendas in sources

Academic and medical references frame urolagnia as a paraphilia and focus on definition and clinical thresholds [1] [2]. Community and sex‑positive sources emphasize normalization, consent and safety [12] [11]. Popular summaries and blogs sometimes conflate visibility with prevalence; their agenda is either advocacy (reducing shame) or titillation, which can skew how common the practice appears [13] [14].

8. What’s missing or uncertain in current reporting

Available sources do not provide a reliable, population‑representative prevalence rate for urolagnia in the general public; major gaps include probability‑sample surveys and longitudinal data. Many cited numbers come from kink communities or internet activity, which researchers warn are not generalizable [5] [6].

If you want, I can compile the specific quoted study citations (Rehor, Channel 4, APA/Wikipedia entries) and explain how to interpret each one line‑by‑line.

Want to dive deeper?
What are the psychological roots and risk factors for developing urolagnia?
How is urolagnia diagnosed and what treatment options exist for distressing cases?
Are there legal or consent issues surrounding urolagnia activities in different countries?
How common is urolagnia compared to other paraphilias and across age or gender groups?
What are safe-practice guidelines and harm-reduction strategies for consensual urolagnia play?