The present paper focuses on an interesting type of sexual paraphilia, which is a telephone scatologia. Telephone scatologia (TS) is a psychosexual disorder that involves making sexually explicit obscene telephone calls to unaware strangers, through which the caller receives sexual arousal by delivering sexual or foul language to strangers. It is only one of form of audio scatologia (akophilia). The review which summarizes the collection of various etiological theories, characteristics and classification of the scatalogist over the past years up to the present time and also discusses the management in the form of psychotherapy and pharmacotherapy. It also throws light on the relevant law and penalties. Clinical assessment of various comorbid psychiatric male adolescent sexual offenders at our outpatient and emergency department who had committed verbal sexual exhibitionism showed that majority were maladjusted and suffered from some form of psychopathology