RT Journal Article SR Electronic T1 Sexual trauma associated with fisting and recreational drugs JF Sexually Transmitted Infections JO Sex Transm Infect FD BMJ Publishing Group Ltd SP 469 OP 470 DO 10.1136/sti.2004.011171 VO 80 IS 6 A1 C E Cohen A1 A Giles A1 M Nelson YR 2004 UL http://sti.bmj.com/content/80/6/469.abstract AB There is a rising trend in high risk sexual behaviour among men who have sex with men (MSM), with concomitant use of recreational drugs. Activities include fisting and unprotected anal intercourse with a partner who is HIV serodiscordant or of unknown status. We describe three cases of HIV positive MSM who have recently attended our unit as a result of complications secondary to fisting.