Male Catheter PlayCatheters are flexible tubes used in medical treatment and surgery for feeding into various body structures to allow access from the outside. The main use of a catheter in BDSM, is the catheters designed for the bladder 'control' scenes: the best type to use for this purpose is the Foley catheter, which has a balloon that can be inflated with sterile water to hold it in place once inserted.
Catheter play involves the urethra, the tube that runs between the bladder and the outside of the body, emerging in men at the end of the penis and in women just inside the vagina. Except for the very end nearest the surface, this tube is sterile, and anything inserted into it deeper than a few millimeters should be sterile too otherwise an infection is easily caused. Serious damage can be done by inserting inappropriate objects or using excessive force or bad technique. The best known forms of urethral play involve catheters and sounds, items of medical equipment specifically designed for use in the urethra.
Regretfully, so far this briefing only covers male catheterization. Women's catheters are shorter, for the shorter urethra, and have their own difficulties of insertion, since the urethral opening is harder to find -- indeed there may be multiple ones. Women are also even more prone to infection. Some of this briefing may be of relevance and interest to women, but the technical aspects are largely inapplicable.
A word of caution: This kind of play is not something you should engage in with someone who is inexperienced or who does not understand all the necessary precautions. Carelessness can result in infection, injury, or other traumatic problems. You should be introduced to this kind of play in the right setting by an experienced, careful person who cares enough about you to exercise all the cautions set forth herein. Even an experienced person should get an extra catheter and practice all of the steps below before trying to insert a cath -- especially the steps involving inflation and deflation of the balloon.
One aspect of catheter play is the physical sensation and psychological effect of having an object inserted into the urethra, which is strangely sensitive. Catheter games can also involve medical imagery and the peculiar penetrative vulnerability of having an object inserted deep inside the body, into what is in actual fact an internal organ. The biggest thrill for most people, though, is most likely control. Catheterized people have no control over their urinary function: if the catheter is left open, the bladder will drain completely and continue to drain as more urine is produced. If the tube is clamped off, they cannot urinate, even if they wish and need to.
There are several kinds of catheters, usually named after their inventor or
on the basis of the kind of tip they employ. The best catheters are made of
latex rubber coated with Teflon, which makes them very smooth when lubricated.
Some catheters are made of plastic which becomes very flexible at body
temperature; these are usually little more than simple tubes with a slight
'funnel' at one end. By far the most common type for use in sex play, and the
type to be preferred, is the Foley catheter. This has a balloon device that
allows it to be left securely in place for a significant length of time; others
will slip out.
Inserting the CatheterBefore beginning, fill the hypodermic syringe with sterile water. Wash your hands carefully with soap and water.
Place the bottom on his back in a comfortable position, legs slightly spread. Wash his penis with soap and warm water, carefully, and rinse with plain water, to reduce the surface bacterial count. Anti-bacterial soap may be efficacious. Ideally this would be a sterile procedure, but even in hospitals it cannot be done with full sterility. Some people advocate washing the penis with Betadine , but I do not believe this helps a lot, and it is both a mess and highly staining. A wipe with a Betadine swab is slightly less so.
Put on the latex gloves. Be careful what you touch after this point. Unfold the sterile towel and put it on his belly. Put the unopened catheter on the towel.
Open only the valve-end of the catheter package. Attach the sterile catheter syringe to the large opening. Determine whether the valve requires the needle or not. If so, fit the needle to the 12ml syringe now but do not attach it to the catheter.
Put a small blob of lubricant right on the tip of the penis, at the urethral opening. Carefully remove the catheter from its package, setting the syringe end on the towel. Generously lubricate only the first 75mm (3") of the catheter and insert it gently into the penis. Continue to insert slowly, twisting the cath slightly to be sure its passage is fully lubricated. As you insert more of the cath, lubricate it in 75mm sections. (It is too slippery to handle if you lubricate it all at once.)
Depending on the length of the person's penis, you will probably be able to insert about 25cm (10") of the cath. At some point you will feel slight resistance, and the bottom will report feeling a 'pinch; in a place he cannot describe. You have reached the bladder sphincter muscle, which keeps the bladder closed. Ask the bottom to relax and try to piss a bit -- the catheter should slip into the bladder. When you have inserted about 35-38cm (13"-14") of the catheter, stop. If the bottom has a short penis, stop sooner.
We must now check to be sure the catheter is properly placed in the bladder. We do this by gently trying to withdraw some urine into the catheter syringe. If you do have urine flow, you are in the bladder. If not, you need to insert the catheter farther. Do not go on to the next step until there is evidence of urine in the catheter syringe. The bottom should feel no real pain.
If you do not use a catheter syringe, the point where the bladder is reached is obvious, since there is a gush of urine from the catheter. You should clamp the end of the cath or block it with a spigot, then push a further 75cm (3") or so into the bladder to be on the safe side.
When the cath is in the bladder, attach the hypodermic syringe to the valve and slowly inflate the balloon with water by pressing the plunger of the syringe. It should not be more than the rated capacity of the balloon. I usually use a 30ml balloon and inflate it to 12-15ml, or about half its stated capacity. If there is leakage, add water 1cc at a time until it ceases. Don't be tempted to use anything other than sterile water to inflate the balloon - on occasion they will burst, and whilst sterile water is no problem in the bladder or urethra, something else might be.
While the Catheter is InsertedYou can now withdraw some urine with the catheter syringe, or you can return the urine to his bladder by the same mechanism. If you remove the catheter syringe from the cath, your bottom will piss until he is empty. Even after he is empty, he will have the sensation that he is pissing. Do not disconnect the catheter syringe and then try to reconnect it and refill him. You will get air in the bladder, and you don't want to do that. You may clamp off the catheter to prevent leakage or to prevent him from pissing when he thinks he needs to. (He will probably have some confused feelings.) I did one scene in which the bottom was blindfolded, and reacted very eagerly when some of his own piss was dripped on his lips from the syringe.
Some people also like to play elaborate piss recycling games by connecting a catheter to a leg-bag (as supplied for incontinent patients), and the outlet of the bag into a drinking tube or gag.
Be gentle with the penis once the cath is in place, and avoid disturbing it too much. Resist any urge to masturbate: this will irritate the urethra and if done vigorously it could injure the bladder or sphincter muscles or nerves!
A Foley cath may be kept in place for awhile, but certainly not with the tube clamped off; you don't want to keep it shut off for so long that urine backs up toward the kidneys. If he really needs to piss, unclamp the tube and let him. Caths are often kept in place for days in a hospital, I recommend that you tape the catheter in place, even when using the Foley type, as although it can't be expelled, it can move further inside the bladder, allowing leakage. In my case, I get very turned on by the whole process, and I start to rythmically clench and relax, much like an orgasm. This pulls the catheter further in, and allows leakage - by taping it firmly in place, it tends to stop this. And there is the added bonus for the top of causing pain when s/he rips the tape off the inside of your leg when it's time to de-cath.
Removing the CatheterFirst, deflate the balloon. Re-attach the hypodermic syringe as you did before, and the pressure from the balloon may cause the syringe to refill. Exert a bit of suction with the syringe: be sure you have taken out as much water as you put in; the balloon must be deflated.
Now slowly withdraw the catheter. The bottom may feel slight discomfort, as the balloon has been slightly deformed and it may not be as perfectly smooth as it was before insertion. Wash off any excess lubricant which may emerge from the tip of the penis.
The first two or three times the bottom urinates, he may feel a slight burning sensation. This is normal and is caused by irritation of the urethra; it should go away within 12-24 hours. Urge the bottom to drink a lot of fluids so that he urinates a lot: this will give him the chance to flush out any germs before they multiply.
If you have the appropriate sterilizing medium (Chlorhexidine
is recommended) the catheters can be re-used - on the same person only
- 2 or 3 times if necessary.
To use chlorhexadine, pour some into a suitable container
and immerse the catheter before use. Leave it there until you are ready to use
it. Clean and flush with water after use - use Dettol in solution, store in a
sterile container until ready to use again, then treat with the chlorhexadine
Incorrect InsertionIt is very important to put the catheter in carefully since there is always a chance it can go astray in the urethra and cause real damage! Go slowly and with great care. Though the bottom will feel strange and uncomfortable, particularly if this is a new experience, there should be no real pain. If there is, something is going wrong. It is also a good idea to make sure the bottom hasn't pissed for half an hour or so before the insertion, so there will be some urine in the bladder to help confirm the cath is in place. When in doubt, withdraw the catheter (as carefully as you put it in) and try again another day with a fresh cath. Do not attempt to re-use a cath once withdrawn unless it has been sterilised (see above- Removing the Catheter).
Valve or Balloon FailureThere is a small possibility that the valve will malfunction and you won't be able to deflate the balloon. If this happens, don't panic. Simply cut off the valve with scissors; the water will gush out. Now try to attach the syringe to suck out more. The rubber-plug valves (used with a needle) are less prone to failure than the force-fit valves which do not use a needle.
There is a smaller possibility that the balloon will break inside the bottom. By underinflating it, you reduce this risk even further. And by using sterile water you ensure that anything that might be introduced into the bladder this way is harmless. Withdraw the catheter very carefully and inspect the balloon to be sure there are no missing pieces left inside (highly unlikely). Then let the bottom piss to rid himself of the water from the balloon.
InfectionBacterial infection in the urethra or bladder is the most common danger of catheterization. The risk of this can never be eliminated totally -- even in hospitals, where caths are inserted in the best of conditions, infections still occasionally occur. The risk can be minimized, however, by following the procedures carefully, using only sterile catheters, and encouraging copious urinating after removal.
If infection does occur, it can be unpleasant, but is rarely a problem if medical help is sought and normally responds well to antibiotics. The symptoms, normally developing within a couple of days of catheterization, include discomfort in the bladder, a constant urge to urinate, cloudy urine and maybe feverishness or a feeling of being under the weather. Visit a doctor or a genito-urinary/STD clinic, swallow your embarrassment and tell them what the most likely cause is. Don't put off going: infections can cause serious problems if allowed to take hold. Make sure you're fully recovered before indulging in catheter play again!
Make sure your partner knows there should be absolutely no
pain during the insertion procedure. If there is, you're doing it wrong.
© North Carolina College of Emergency Physician's
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