The untrained insertion of foreign bodies into the urethra carries a significant risk that subsequent medical attention may be required. Documented cases of urethral intercourse appear to have occurred between heterosexual couples; a survey of the global medical literature available in 1965 reported accounts of thirteen separate cases.  By 2014, 26 cases had been documented in the medical literature, many in people with Müllerian dysgenesis who were engaging in urethral intercourse unknowingly.  However, the stretching of the urethra required by this form of intercourse has also reportedly resulted in a complete and permanent loss of urethral sphincter control ( urinary incontinence ); furthermore such intercourse presents a very high risk of bladder infection to the receptive partner.   It can also lead to permanent dilation of the urethra and incontinence during intercourse. Presenting symptoms of unintentional urethral intercourse include primary infertility , dyspareunia (pain during intercourse), and incontinence.  A case of urethral intercourse with penile penetration is mentioned in Bonk: The Curious Coupling of Science and Sex by Mary Roach .  More serious consequences include evisceration via the urethra and bladder rupture . 
In his ten years as an executive at Bravo he was responsible for an aggressive slate of unscripted series and specials including hits such as "Project Runway,” “Top Chef,” “Queer Eye For the Straight Guy,” "The Millionaire Matchmaker,” the “Million Dollar Listing” franchise, “Being Bobby Brown,” “Shahs of Sunset,” “Flipping Out,” “Top Design,” “Work Out,” “Make Me a Supermodel,” “Blow Out,” “Kathy Griffin My Life On the D List,” “The A List Awards” “The Rachel Zoe Project,” “Work of Art: The Next Great Artist,” “Bethenny Ever After,” “Tabatha’s Salon Takeover,” and “The Real Housewives” franchises. Cohen started at Bravo in 2004 as Vice President, Original Programming and most recently, Cohen served as Bravo’s Executive Vice President of Development and Talent from November 2011 to January 2014.
When this site launched in 2011, it was intended as a way to find others who were sick of partisan politics and wanted to connect with like-minded people who were ready to go beyond politics and find ways of escaping. It has shifted focus in ways that reflect my own shifting thinking. I’m less interested in politics and more interested in looking at the things that make life worth living, such as love, creation, self-understanding and connecting with others. Every article I have posted since 2011 is still in my archives, but everything I write is a reflection of my current thinking. Sometimes I’m wrong — and that’s fine with me — and I don’t always end up agreeing with what I wrote five years ago. For now, you can still read what I wrote about the site’s purpose in 2011, but I should rewrite this. Read more.