Does buttfucking permanently damage the butthole?

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No, but fisting and other weird things probably will.
 
It's associated with increased risk of fecal incontinence, even when other factors are controlled for. Receiving, obviously. Popular wisdom is that slowly building up to bigger sizes and using lots of lube can prevent damage but IDK if this has ever been scientifically proven.
After controlling for other known factors for FI in adults, anal intercourse was associated with an increased odds of having FI in both men and women
Lower anal resting pressure has been noted among men who engaged in anal intercourse (5,6)
Biologic plausibility exists for anal intercourse as a risk factor for FI. The internal anal sphincter contributes to the majority of the anal resting pressure. Anal intercourse could dilate and eventually stretch the internal and external anal sphincters leading to damage of these structures, as demonstrated by the lower resting pressure. This lower pressure and possible damage to the internal and external anal sphincters could lead to FI via muscle atrophy and sensory deficits. Smaller clinical cohort studies have found than women with and without FI have lower anal pressures than men (18,19).
 
If you do it wrong, sure.

If you think that's bad, wait til you hear what giving birth can do to your cooch even with the best precautions (incontinence is the least of your worries there).
 
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