This cross section study was carried on male patients suffering from sexual dysfunction attending out patient clinics of andrology department of Kasr Ell Eini Hospital. The patients were 206 randomly selected and were asked to answer a questionnaire including all item about their sexual history . The aim of this study was to study pattern of paraphilia and paraphilia related –disorders among these patients . We noticed that there were some difference between rural and urban cases in their past sexual behaviors. Also seeing pornography picture and movies was higher in urban (64%) than rural(45.7%) cases ,while sexual relation with animal was higher in rural cases (7.1%) than urban cases(1.5%) . History of frotteurism was higher in urban (6.6%) than rural cases (1.4%).