Buttock lesions resulting from heavy BDSM (Bondage / Discipline / Sadism / Masochism) play in an 82 year old male.

An 82 year old male who was participating in a research study investigating consensual corporal punishment (CCP) disclosed that he had identified two areas of skin on his buttocks that were slow to heal. These corresponded to areas that broke down and bled almost immediately during CCP. Whilst the vast majority of participants in CCP receive no more than minor bruising / erythema, a substantial minority play at a level which is likely to result in more significant skin damage. He explained that this was a relatively common phenomenon afflicting practitioners who play at a severe level. There are no references to these in the academic literature. Clinicians who may see these lesions should be aware of their aetiology in order to identify appropriate treatment and offer suitable health promotion to either prevent formation or reduce the risk of recurrence.