Authors note: This has been a long-running fantasy of mine--oh to have it made real! I have thought of a continuation, but only if I get feedback from my readers. One thought, since I am not a woman it would be fun to have a woman reader augment the story but from the point of view of either the Visiting Nurse or Miss Gwen, CNA. Thank you for allowing me to write this all out. It has been a very fun adventure. More to come...I hope!

It begins with a phone call. The visiting nurse asks if I have prepared for my exam, as she instructed the day before.

Yes, I have taken the prescribed series of 5 two-quart enemas -- soapy, clear, baking soda, plain water and then mint tea in that order. Yes, I have made sure that my pubes are cleanly shaven. And, finally, I have slept through the night with a medium-sized plug in my ass, the plug harness insuring against chance of my pushing it out "accidentally" during the night.

Good, she says. She'll be over in a few minutes to conduct her morning exam. Have I had any coffee or tea this morning?

Yes. I have had three cups of tea. She tells me to not urinate before she arrives. She says we will need that specimen.

So I wait. My cock turgid, but I am nervous. What is in store for today? The last time it was a series of smaller 'douches'. The first was a glycerin mixture which cleaned me out even more than I was, then another warm water flushing as I stood in the shower and then some warm olive oil from a bulb. After expelling in front of her, I was diapered. Soon I needed to pee. She had looked at me with a sly smile and told me that that is what the diaper was for. My face grew red as I emptied my bladder. My sphincter also relaxed and some remaining fluids seeped from my tender asshole. On the changing table she removed the pull-ups, wiped me clean and gave me a thorough exam. Her index finger entered easily, stretching my hole. She lubed up and pushed in two, then three more digits and then pronounced me ready for my dilation. I was surprised at the size of the dildo she pulled from her shoulder bag, the black silicone glistening. This will help you out, she said.

As I hung up the phone my mind raced. What now? The plug felt slick and my ass was well stretched having slept with it all night. I could feel a combination of sweat, lube and my own juices as it moved inside of me but I had to make sure all the equipment was ready for her when she arrived. I set out my small box of enema tips, the blue douche bulb with its large curved nozzle, my double balloon and the 4 quart amber bag with the 4 foot latex hose. All of them had been cleaned well since the last time they had been used and they had been allowed to air dry overnight. I also set out a small bottle of Dr. Bronner's mint castile soap, a jar of suppositories, a squeeze bottle of lube, the box of latex gloves and a 1 gallon plastic pitcher. I added two large towels and some baby wipes. The adult pull-ups were under the counter should she feel the need to diaper me. I opened up the portable massage table we would use, covering it with a soft flannel sheet. Then I waited. As I sat on the wooden bar stool, I felt the soft plug push into me a little deeper, halted only by the flange at its base. I really had to pee, and my cock was thickening in anticipation of the upcoming exam.

The doorbell buzzed about ten minutes later and I put on a bathrobe before answering. When I opened the door I was surprised to see that the Visiting Nurse was not alone. "Good morning. I hope you don't mind, but I am training a new girl today and I thought it would be good for her to see firsthand what we do. This is Gwen, she's my CNA." "No problem, Nurse," I said. "Please come in." I escorted the two women through the door and into the small foyer. They were both dressed in clean scrubs and the CNA carried a medium sized shoulder bag.

We walked into my flat and she commented to Gwen on the equipment already laid out. The CNA was familiar with all the gear and was very professional in her manner. As the VN saw the table assembled she told me to remove the robe so that Gwen could inspect me first. The young woman made approving sounds at my hairless crotch and the harness around my waist. "Are you wearing a plug?" she asked. "Yes, as instructed." "Good, then we shall see how your night fared. Please remove the harness and climb on the table, knee-chest position please. Well check the plug and probably remove it to see how wide you have been dilated."

I did as Gwen asked. The plug stayed in place despite the removal of the harness and as I climbed on the table, onto my knees, my buttocks were presented at almost eye-level for the two women. They were behind me and I heard them putting in the exam gloves, snapping them slightly to assure a snug fit. "Now, let's take a look at that asshole and see what you need today, hmm?" I felt the Nurse's fingers on the edge of the plug. "Gwen could you hold his cheeks open a bit more please? I really need to get a good hold on this thing. It's pretty slick." She began to move the plug around, slowly pulling it out and reminding me to relax and not to clench my muscles. It came out easily and I felt the cooler air of the room invade my open anus. I couldn't help myself and my sphincter muscles contracted automatically. "I told you to relax!", she said sternly. "Now we'll have to stretch you open again. Gwen, hand me the lube. I'm going to use my fingers for this. You should also watch so you can do it next time."

The VN paused for a second, then changed her mind. "On second thought, Gwen, could you hand me the 100 ml syringe in my bag? We can fill it with some lube from his supply and actually inject him with it. It'll make this procedure go much more smoothly. Also, while he is in this position, we might as well take a rectal temp. We should see how his ass is doing after last night." Gwen complied and the VN told me to lay on my stomach while she took my temperature. One of my favorite memories is as child having this procedure done in the doctor's office. It was decades ago and I will always remember the country doctor's office with its fireplace and the old exam table covered in red leather. The kindly man would insert the thermometer and I felt, for the first time perhaps, the thrill of being stimulated anally. I sought out that thrill from that day forward. As the VN spread my cheeks she said, "I don't think we'll need any lube for this. He is pretty well stretched, enough at least for this thin thing.' I felt the cool glass rod enter my anus and as she pushed it in she comforted me by saying, "Now, that's a good boy....We'll hold it there for a couple of minutes while we fill this lube injector for you, OK?" Lying on my stomach made me suddenly aware of the need to pee, so I told her. "Well, we need a good specimen from you anyway. We'll do that first and then we'll see what's next. Gwen, could you hand me the pitcher on the counter, please?"

I was humming with anticipation. I knew what was next. Soon the thermometer was removed, the slick feeling pulling out of me. " Aha! Good boy...99.5-slightly higher than body temperature." I was instructed to kneel upright on the table, my legs spread, my hands behind my head. Gwen placed the plastic pitcher between my legs. "Now, just let go and give us all that lovely urine", she instructed. "It won't go to waste, I am sure, right Nurse?" "No indeed, Gwen. We'll use it again, and soon." There was a slight jocular sound to her voice and with that I began to pee, a whole night and morning's worth of hot, bright yellow fluid swirling into the pitcher. Gwen gently held my cock and directed the flow, to avoid any messes. It seemed to take forever and felt like gallons, but it was really only about a quart. Satisfied with the results, the VN had me assume my previous position. "OK, now we'll give you some lube and proceed with a digital exam." I felt the small nozzle of the plastic syringe press into the soft ring of my anus and then the cooler sensation of 50 ml of Astroglide being pushed into the cavity. Without wasting any time, the VN inserted a finger, then two. She pushed them in and tried to spread them while they were inside. My ass make sucking noise and the lube was spread through the interior. "Relax!", she commanded. "You have to let me do my work. Gwen, could you hold him open again, please? I need to get in there a little deeper." The young CNA complied and as she held open my cheeks, the VN pushed in further, turning her digits around, feeling for any obstructions. The combination of the two woman working on me gave me a fantastic emotional charge, at once safe and at the same time feeling violated and used. Amazing. Her fingers went in and out and around for what seemed like hours as she instructed Gwen on the proper technique for this kind of exam. "Now, Gwen this is obviously a little more thorough than what we usually do in the hospital, but this kind of out-patient visit demands more than the usual. Plus, this patient enjoys it, don't you?" "Ye..yes...!", I croaked, feeling like I was getting fucked by a jackhammer, her fingers continuing to turn, thrust and twist inside my soft ass.

She withdrew her finger slowly and said, "OK, Gwen, could you take the blue bulb with the douche nozzle and fill it with that lovely piss the patient just donated? I think it needs to be re-introduced. It will rinse out any of the leftover lube and also anything that may have been left since last night. I think we will do that on the table as well, but over a large plastic basin so we don't have any messes." "Yes, Nurse", said Gwen. As the CNA filled my SunMark 10 oz bulb the VN positioned me again on the table, this time straddling a medium sized plastic basin. My asshole twitched with eagerness. When Gwen finished filling the bulb from the pitcher, she screwed the long curved white nozzle onto the top of the bulb and handed it to the VN. I felt a few drops fall on my skin as she slowly inserted the unit into my ass, not stopping until the bulb was touching my spread hole--then she squeezed. My piss was still warm as she emptied it back into my willing body. The nozzle was withdrawn and the procedure was repeated twice after that, the third time the bulb being not quite half-full. This time the VN was very careful to not squeeze any air through the tip, pausing and then pulling it out. "OK", she said, "Let's see what comes out of the open hole of yours, shall we? Sit up and straddle the basin and let it all out. No need to push, I don't think. It'll probably just flow right out into the basin." She was right. There was no need to wait, either, as the majority of the liquid gushed from my spread ass. A few pops and squirts later and it was done. The piss was still yellow, which pleased the VN and her young assistant. She complimented me on a thorough pre-exam clean-out. "OK, young man, now let's see how much we can stretch you out today. Gwen, could you re-load the lube syringe, please? I think this ass needs a serious workout. After that we'll go outside for the next set of procedures. It is such a nice warm day and there is so much privacy here it would be ashamed not to take advantage of the great outdoors. Sunshine and fresh air does the body good!" Gwen agreed and once again I was positioned on the exam table to await their strenuous and passionate mercies.

I kneeled on the flannel-covered table, my legs spread, ass in the air and my head cradled in my folded arms. I was as splayed open as a lab specimen ready for dissection, yet I felt at ease with these two women. Their professionalism and control gave me a sense of security: I was safe, in their capable arms and eager to please. The VN said, "Now, Gwen, notice how he is ready for us, how he is open. Even his anus is relaxed and waiting to be examined. As you can see he also shaves this. This is one of my commandments and you must be able to take charge of him as I do. When I am on vacation next week you'll be giving him all the work-ups." The thought excited me: Gwen, the young CNA in charge! Gwen answered, "Certainly Nurse. I can do this. He seems like he is amenable to anything you do. You will leave a list of prescribed actions for him while you are away, right?" Then she directed her question to me, "You'll do it won't you, dear? If you don't we'll have to come up with something to make you behave!" Her tone became serious and sharp and I knew it would be alright. "Yes, Gwen", I replied quietly. "What? I can't hear you very well, and it is 'Miss Gwen' from now on, okay?" "Yes, Miss Gwen. Thank you!" I fairly blurted out my response.

As the VN and Miss Gwen slipped on fresh gloves, I felt my cock begin to swell with the thought of what was next. The VN noticed this and pointed it out to her young assistant, who noted that it seemed like I was enjoying the procedure. "Oh, yes, he loves the attention, don't you?" I nodded in my crossed arms. I felt the small syringe nozzle enter my ass and then the cool lube being squirted into the soft opening. The VN then told me to sit up and push back. She wanted me to fuck myself on her fingers. As I angled back I felt her fingers push into me. "Back and forth, dear, yes, that's right, back and forth. Lube it up for me!", she demanded. I continued to ride her hand as I felt a third digit enter my open hole. Se told me to stop after a minute or so and then had me go back to the knee-chest position, her fingers still deep in my ass. "Gwen, even though he is nice and clean from his set of enemas last night and the urine douche a few minutes ago, could you get a two-quart warm water flush ready for him, please? I think we really need to fill him up before we fuck him anymore. I want to make sure I can get the whole dilator in there. It's pretty long and I want no obstructions. He'll be riding it for a few minutes so we want smooth action." Gwen prepared my closed top Davol bag with warm water and hung it on the convenient coat rack standing by the table. "Which nozzle, nurse?" "I think the standard douche nozzle is fine, isn't it dear, or do you want something bigger?" "Larger is alright, ma'am", I replied. "OK then. We'll go with the double balloon. This way you can hold it when we go outside for some fresh air." From my position I couldn't see the hose being fitted, and I soon felt the first uninflated bulb being pushed easily into my anus. With the sound of the hand pump came the feeling of being stretched by the internal balloon and the nozzle pulling itself into my ass making a snug fit. The second was inflated and the VN tugged on the unit to insure a tight fit. I heard Gwen giggle and the VN said, "Yes, as the double balloon inflates, so does his cock. Isn't that pretty. If you are a good boy I'll have Gwen take care of that when we are done, isn't that right Gwen?" "I would be happy to ease his swelling, Nurse", she said. It sounded like she was smiling. "OK, dear...here it goes. Gwen, please release the clamp and we'll start the second round of cleaning." As the metal clamp clicked, I felt the water flow into my widened rectum. Being as clean and empty as I already was, it didn't take long to empty the 2 quarts into my willing passage. Satisfied that the bag was flat, the VN had me sit up slowly and climb off the table. There I stood, the amber latex tube extending from between my buttocks, Gwen holding the empty bag and my erection perpendicular to my abdomen.

I was directed to the sliding glass doors leading out onto my brick-lined patio. Outside there were two chairs and a standard medical commode, but without the inserted chamber pot. There was also a soft spread of rug cushioning laid out in the middle. The summer air was warm on my skin as the two women directed me to my "chair" and running the hose through the bottom. As I sat the double balloon kept the water inside while I relaxed for a moment. I was commanded to sit for five minutes and then they would be back. They walked around the back of my house to the small gardening shed. When they returned a few minutes later Gwen had a coiled green garden hose in her arms. I could feel the pressure to release building and asked the VN if I could let go of the water. "Yes, it is time. Gwen, could you deflate the inner balloon and pull it out so we can start round three?" As the air hissed from the valve she pulled the nozzle from my wet ass. The water gushed out in a single flow, with no pops or smaller spurts, splashing the bricks and my ankles. I was empty in seconds!

The VN came out of the house with a long black dildo, about 8-9 inches and 2 inches in diameter. "Now, dear, we are going to open you up with this nice piece of silicone cock and make you hold it in for a few minutes. Then Gwen and I have a nice surprise for you. After that we have to rinse you out again and then plug you up before we go. How does that sound?" It wasn't so much a question as a set of plans already put into action. I was made to assume the knee-chest again and more lube was applied to my waiting hole. The fat rubber cock was pushed against my ass. I tensed, but just for a second. "Stop it, dear! You have to relax or this will not go smoothly!" the VN barked. I eased and the head popped in easily, followed by what seemed like miles of thick, black silicone. Then she began to pump, slowly, but with more urgency as she continued. My own cock was thick as well, and pre-cum oozed from its hole as my prostate was rubbed, back and forth, back and forth. "Yes, I see you like this black cock, don't you dear? Maybe we'll make you sleep with that in you one night..." Then she stopped. "Now I want you to hold that in and go sit on one of the chairs so it doesn't come out. Gwen and I have get the hose attachment ready for you." I was sweating and my pulse raced as I watched the VN dig through her bag and pull out a large butt-plug with a screw attachment at the end. It was designed for the garden hose, my garden hose...

I felt stuffed and nearly drained, my head swirled. The feeling of the silicone cock in my ass was incredible. I could feel it deeper than any toy or nozzle I have ever used. My cock, although not rock hard, was tumescent, wet and almost painful, but the pain was mixed with so much pleasure that all I could do was pant. Miss Gwen uncoiled the hose and attached one end to the spigot on the outside of my house. The water would be cold, I knew, and cause cramping, but I didn't care. She turned it on slightly and in a few seconds the water began to spew out the other end. "Gwen, turn it down, please. We only want a very slow flow for this. It would be dangerous to have any serious pressure in his rectum. I will be inserting the plug, but also reaming him at the same time with it, like a douche. Then I'll fill him up." Gwen complied and the flow slowed to a trickle. The Visiting Nurse took the other end, still flowing, and quickly screwed on the large plug nozzle. As the water shot from it I saw that there was more than just a hole at the tip! There were at least six other holes in the plug, ringed around the sides of the piece of hard black plastic. It was very much like the Shower Shot I had attached in my bathroom, only much larger in diameter and designed to stay in place if one so wanted.

The VN said, "OK, dear, stand up and bend over the chair so Miss Gwen can remove that dilator from your hole. I think it has been stretched enough for now." As I kneeled on the chair I felt Miss Gwen's latex clad fingers searching for a purchase on the slick rubber. Then she began to pull slowly. The length that was inside of me felt like miles as she removed the dildo and with a noticeable 'slurp' the unit came out, leaving me wide and open. I looked between my legs and watched as a mixture of lube and liquid ran down the inside of my thighs. "No need for any more lube, Nurse", she commented. "Are you ready for the next rinsing, dear?", she asked me. "Yes, please, Miss. I am ready to continue." I was delirious with pleasure at having this amount of attention paid to my willing and needing hole. The VN walked up behind me and inserted the tip of the plug, letting the cool water flow into my cavity and then pulling it out. It drained as if my tight ass had become just another egress, the sphincter completely stretched and open. She repeated the procedure several times, each time going in a little deeper until she was using the whole length of the of the device. Each time she allowed the water to flow back out before continuing. Then she pushed it in and left it there. My muscles clenched snuggly around the flared base, my guts filling, but I felt no urge to evacuate. The water just kept flowing.

"Let's see how long this will take", the VN said. "Then we'll turn it off, remove the plug and let you go right here on the patio. OK dear?" This was not a question but more a set of instructions for what would come next. It seems like hours and as the pressure grew, so did my discomfort. Peristalsis began and I needed to let it go. I was afraid of pushing the plug put and said so. "Nurse, I think he has had enough, do you?" Miss Gwen's observation was noted by the VN and with a air of approval she told Miss Gwen to turn off the flow and remove the plug. "Yes, Gwen, this is good. You are learning a lot here today, aren't you? This will help you out with this patient and perhaps may others in the future." As the stream stopped the VN slowly inched the plug from my ass. I was allowed to evacuate and the process went smoothly although I was amazed at the amount of water that had flowed into me. It was more than the gallon bag I had used before, that was sure. Miss Gwen said, "Nurse, I think I'll have him wait until next week to relieve his need to ejaculate. Is that alright?" "Yes, Gwen, I think you are right. In that case, could you go inside and fetch a pair of pull-ups for him? I think we'll put the plug back in without the hose and leave him like this as we continue our rounds. One of us can call him tomorrow and check in. Maybe then he can take it out." So that was it. I was to be diapered and left to wait in agony while the remaining drops of liquid dripped from my ass. Tomorrow I could remove the plug, but only after I was instructed to do so by one of the women. Miss Gwen returned and the VN began wiping off my legs, buttocks and feet. A small amount of lube was used on my tender asshole and the plug, now disconnected from the hose, re-inserted slowly. Again, it was snug, but at this point I was so widened I could feel it moving around easily. Miss Gwen powdered me and had me step into the absorbent underpants. When they were in place the Visiting Nurse said, "Now, we'll leave you to clean up this mess, and I advise you to take some acidopholous pills and have a long nap. Only broth for dinner tonight and water, is that understood? Any fooling with that plug and we'll know, won't we Gwen?" "Oh yes, we will, Nurse, and we all know what happens to patients who disregard the advice of a professional. We'll call tomorrow and check to see how you are shaping up." She looked me right in the eyes when she spoke to me. She knew her wish was my command. The two women packed up their belongings and showed themselves to the door. As they left I felt as if I had finally been released. The treatment was working and I was getting better under their skillful ministrations.

The End