Prevalence and implications of genital tattoos: A site not forgotten

Abstract

Purpose: To provide information on men who have tattooed one anatomical site, the genital region (pubic and/or glans penis), that is uncommonly noted. Methods: Two methods were used. First, the limited cultural and medical literature was reviewed. Secondly, a subsample of 14 men were analyzed, taken from a primary study examining male genital piercings (N = 445), who responded affirmatively to one survey question about penile tattoos. Findings: The literature (n = 25) was limited. Cultural literature revealed a long, rich history of genital markings for esthetics, sexual enhancement, and tribal status, whereas the medical literature reflected limited observational type information, some actual case histories, and few studies. From the small subsample, qualitative and quantitative data were provided. Similarities to those who wore general body tattoos were validated such as being single, heterosexual, having some college/vocational education, monthly binge drinking, no skin complications, and a strong propensity for a Need for Uniqueness. Reportedly, they were major body art wearers and continue to enjoy them. First age occurrence of sexual intercourse was similar to the national average of 17 years. Challenged assumptions included (a) no consensus regarding being risk takers, (b) significant reported forced sexual activity, and no (c) physical, sexual or mental abuse. Conclusions: From our experience, those with genital tattoos are seen primarily for a normal range of developmental and physiological urologic issues, not their decorative markings; these genital tattoos are an integral part of their cultural and personal expression and most likely will increase. Yet, the markings are only skin deep so clinicians should adopt a nonjudgmental approach and employ methods of proactive patient health education.

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