I am a mostly healthy heterosexual male. Approximately 5 days ago I went to an Asian massage parlor.  I was offered a table shower so I said yes.  As I was laying on the table I asked her to urinate on me.  She agreed.

She first urinated on my chest and then some in my mouth.  I did not swallow and she game me mouthwash immediately after.  She did touch my penis some during the shower.  No other touching happened and there was no oral or penetrative sex.  

I left after this since I thought about the fact that some STIs can be detected in urine, but I wasn’t sure if they could be transmitted by urine as well.

What are my risks for contracting any STIs from this incident?

Can I resume sex with my partner?

Thank you

It is true that some STDs are detectable by urine testing, but that doesn't necessarily imply urine transmits them. Almost all STD tests on urine detect genetic material (nucleic acids, i.e. DNA or RNA) of the causative organisms (e.g. chlamydia, gonorrhea, trichomonas); as a group they are called nucleic acid amplification tests (NAAT). Live organisms may or may not be present, but in many cases urine actually suppresses their growth, and urine rarely transmits STDs. The actual risk of transmission by urine has never been formally studied, but all evidence indicates it is very rare. In my 50 years in the STD business, I have never encountered or heard about a case acquired through exposure to urine. Another factor concerns those STDs that can take hold in the oral cavity. For practical purposes, that's only gonorrhea:  chlamydia, trichomonas, and Mycoplasma genitalium rarely take hold in the oral cavity; and of course skin exposure is zero risk.

For those reasons, I would consider your golden shower event to carry little or no risk. If somehow I were in your situation, I would not feel a need to be tested and would continue unprotected sex with my wife without worry. However, I cannot guarantee the risk is zero, so you could consider testing. If you do so, I would advise only a throat swab for gonorrhea. (It will include chlamydia, since the two are almost always automatically done.) I see no need for any other testing of any kind.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD

I completely understand your assessment and that you cannot guarantee a zero-risk situation.

If I were to have gonorrhea how would that be transmitted to partner?  Oral sex?  Deep kissing?  Regular kissing?

Thank you,

Feel free to be tested if you like. If somehow I were in your situation, I wouldn't.

That completes the two follow-up exchanges included with each question and so ends this thread. I hope the discussion has been helpful. Thanks for the thanks.