Last year, we reported on the leading practice offering anal botox and rejuvenation, and while it may sound a rather amusing concept, sure enough most men aren’t undergoing the surgery to make their poop chutes look younger.

Speaking exclusively to C&C, we asked Dr. Evan Goldstein, the Founder and CEO of Bespoke Surgical – the leading private practice specializing in an elite standard of sexual health and wellness care for the modern gay male – to dissect the modern phenomenon.

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“Time and time again, I am seeing traumatic injury from anal intercourse.” This isn’t something new, although Goldstein explains, with little knowledge or sensitivity from practitioners, “the end game for the most part was either changing sexual roles/activities or ongoing painful anal engagement”.

You can just picture all the bottoms reading this and gasping with horror at becoming a top.

But Goldstein goes on to explain that the outcomes aren’t just physical; “pain, bleeding, and irritation, (primarily caused by fissures (tears), hemorrhoids and skin tags) along with poor aesthetics, not only has physical effects, but also mental ramifications”.

Kinda like what happened to Charlotte York ’cause she thought it was ‘ugly’.

Because of this, and the greater access to treatments, Goldstein says he’s seen an “immense surge” in anal rejuvenation surgeries.

“Being a gay male myself who engages sexually, I do understand the functions of both defecation and anal intercourse, along with the overall importance of aesthetics in that area of the body. A pretty and playable ass is a wonderful thing – who doesn’t want that?!”

“Many physicians lack the sensitivities and knowledge to understand the unique sexual acts of our community, which set the stage for improper treatments.”

He goes on, “with these travesties, I began to realize that there is a strong need for non-judgmental, non-biased surgical care, for all who engage anally.”

[RELATED: Gay Men are Shunning Anal Sex in Favour of Becoming ‘Felatihoes’]

Based in New York, Dr. Goldstein has been practicing since receiving his osteopathic doctorate from the University of Medicine and Dentistry School in 2002.

We’re teaming up with Dr. Goldstein for a series of articles on sexual health and anal care, so if you have a question you’d like busted, you can email us confidentially at: [email protected]