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Views: 1297 Created: 2021.09.05 Updated: 2021.09.09

Follow Up Exam

The Proctoscope

Dr Farnese said she wanted to try to palpate the bump before we moved onto the proctoscopic exam. She told Diana that since she had shorter fingers, perhaps that was why she herself had not detected it. Diana explained that with lesions that are higher up in the rectum, it is often helpful to have the patient assume a squatting position so that the rectum shifts lower into the pelvis and that the rectum and the anal canal shorten and straighten making it easier to reach further inside. With this discussion, they proceeded to get me off my knees and had me squat on the couch facing away from them. Diana explained that this was the natural position for having a bowel movement and that if they had me bear down, it should be possible to reach the spot.

Diana got next to me with one knee on the couch and one foot on the floor, steadying me with both hands on my back to keep me from falling in my tipsy Valiumed state. Dr Farnese got down behind me on both knees and reached underneath me. She had a hard time seeing, so she felt around with her fingers to locate my opening. “Okay, bear down.” She waited until she could feel my anus bulge out and relax and then firmly pushed up her slender finger. It felt quite comfortable by this point. As she started to push in harder she told me to bear down harder.

Diana took over as my coach, “Push push push like you are pushing out a big poop.” I did as I was told and at the same time, Dr Farnese pushed up even harder almost pushing me off balance. I could now feel her closed fist wedged up between my buttocks as she tried to get in as far as she could until at last, she excitedly declared she could feel the bump and she started to push more towards the front. This again caused the pleasant tickling pressure behind my penis to return. As she kept rubbing her finger around it, the pleasure got rather intense and I was confused at how her finger was making me feel so good. The stickiness started to leak from my penis again and got smeared on the side of my thighs as I shifted to stay balanced. I started to worry I was going to cum, but she suddenly slid her finger out followed by a drips of KY out of my increasingly sore tired anus.

They were both excited now at their success and they quickly got me into the kneeling position with my butt out. The inside of my thighs and my scrotum were quite slippery now with a mixture of lubricant and precum. There was more sound of tearing sterile packages and clanking of metal.

Dr Farnese started to explain the final part of the exam and explained what a proctoscope was and how they would use it to look inside my rectum and that they were going to take a sample from the bump to be tested. Diana would be conducting it given her relevant experience with this procedure. I had been dreading this since I first caught glimpse of the huge instrument and my fears of what would be done with it were coming true just as I feared.

Diana got behind me and offered me reassurance once again, “OK sweetie, here we go. The scope is going to feel cold and hard. When you feel the tip, bear down like you are trying to go.” I felt the cold metal tip and pushed like she wanted me to. “Push, Push, Push! Good!” The thick hard cold tube was sliding in and just as I started to think I could deal with this, I heard a Puff Puffff Puff sound and and felt building pressure in my rectum.

“Karl, I am just pumping in some air to open up your rectum so I can see better. It may feel like you have to fart. Just try and relax, you are doing so well.” I was so worn out I was relaxing more from exhaustion rather than any intention to do so. The two women took turns looking through the scope and then went to take a sample. More ripping packages and then a vague burning sensation. Diana commented that ther was some bleeding from the sample being taken and with a bit of urgency, told Dr Farnese that she would withdraw the scope and use finger pressure to stop the bleeding.

I felt the scope being quickly withdrawn through my anus, the metal shaft now a pleasant warm sensation from the heat of my rectum. As soon as it was out, Diana quickly plunged her finger back into me, apologizing for the lack of warning, “Sorry hon, gotta get this stopped.” She reassured Dr Farnese that she could feel the lesion with her finger tip and the pressure she was applying should have the bleeding stopped in a few minutes. She was applying the same forward pressure that had aroused me multiple times before, but was earnestly pressing more firmly this time with predictable results. I was fully erect rather quickly and the precum again started to ooze and a glistening string of it stretched from the head of my penis to the pad underneath me. The pleasure was getting intense. I could not help but bask in it, but yet wanted to avoid the humiliation of an orgasm so badly. But it was no use. Diana’s finger continued to press with just enough motion to generate waves of pleasure ever stronger and with a new sensation in my penis of needing to pee and pressure in the head.

Dr Farnese noticed my testicles drawing up higher in my scrotum and recognized this as signs of an imminent orgasm and remarked to Diana that her finger was affecting more than just the bleeding! The pleasure crescendoed and shocked me at the multiple origins of it. A warm full feeling in my rectum and a deep tickling and a glowing pulsing pressure in my balls and penis. “Oh Oh Ohhhh, “ I gasped and grunted. Diana was at first not sure what was happening and asked, “Karl! Karl! Are you okay?!” She then realized what was happening when she felt my anus clamp down tightly on her finger in spasms that mirrored the waves of my orgasm. As my butt clenched down, I could feel her finger so much more exquisitely and loved the feeling and the idea of her being inside me in such an intimate way and experiencing my orgasm with me. I was still spurting bolts of semen that missed the protective pad I under me and went forward onto the upholstered cushion of the back of the couch and started to drip down it. I was panting and and drenched with sweat.

Gradually the waves receded and I caught my breath. My rectum was still filled with the air that Diana had pumped into me and as my anus started to relax more, it started to escape around her finger that was still inside me. The sound was very embarrassing as the air bubbled out mixed with lubricant. It caught us both by surprise, “Whoops!“ she said. “It’s okay, let the air out of your bottom, don’t be embarrassed.“ I had no control between the pressure of the air and my relaxing anus and it continued to erupt. She pulled her finger out and I continued to bubble and gurgle as the warm lubricant dripped down over me and onto the pad. Finally it stopped. There was awkward silence before Diana had peeled off her drenched gloves and helped me down off my knees onto my back with farts of air audibly erupting from me every time I made a move. The dripping semen on the back of the couch was now clearly visible on the dark red upholstery. She continued to reassure me, “It’s okay, its okay. Let it all out. I’ll clean you up in a bit.”

I rested for about a half hour, dozing off a little and the two of them spoke quietly with occasional bits of hushed laughter as they went over the events of the afternoon, assuming I was out cold and could not hear them. Diana told the doctor she had never felt such powerful anal contractions as she had during my orgasm, “And I have had that finger up a lot of butts and never felt squeezing like that!” she noted. “And all that semen! I guess you will need to get a new couch!”

They then realized I was awake and becoming more alert. Diana come over and pulled the sheet away that she had covered me with. I stirred, but she told me to stay still, “Shhh! I am going to get you cleaned up.“ She started first to wash away the partially dried semen on my stomach with a soft warm wet cloth and was surprised at the extent of it. ”Messy messy,” she whispered. She then went on to gently wipe my penis and scrotum and stopped sooner than planned when I started to swell a bit. “Let me wash your bottom. Lift up your legs and hold them back.” I lifted my legs, held them back with my hands and tilted my hips up so that she had good access to my anal area and inner buttocks. The warm moist cloth felt wonderful and she gently wiped me up.

She was done and covered me back up with a sheet. “We are going to step out. Go ahead and get dressed. I am going to walk you out to your car in case you are still a bit woozy. We will have the results of the test next week and will call you. If you have any trouble moving your bowels and significant bleeding call us. Go to the ER if you have pass more than a ¼ cup of blood.”

Authors’s Note: Thanks for reading all the way through. Excuse my awkward prose. I would love to have any feedback anyone could offer. Thanks