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Urine might have a more fetishistic element for some in which a person has simply learned through experience to associate the sight, smell, or taste or urine with sexual arousal.
As you can see, it would be wise not to leap to conclusions about why a given person is into urophilia-there are likelya lot of potential explanations. Contrary to popular belief, having an unusual sexual interest such as urophilia does not necessarily mean that one is mentally disturbed or has a psychological disorder. Unusual interests only rise to the level of disordered behavior when they are non-consensual in nature or cause significant psychological distress to the people who have them.
While it has long been thought that urine is sterile, recent research has shown that this is a myth.