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Views: 9265 Created: 2007.08.07 Updated: 2007.08.07

Jill's Urological Workup

Jill's Urological Workup

As I carefully washed my hands with Betadine soap, I explained to Jill that a clean catch urine specimen would be necessary. When I had finished washing my hands, I placed her back on the exam table, however, instead of using the stirrups again, I installed the knee crutches to hold her knees high and well back.

I spent the next few minutes carefully securing Jill's wrists to the top of the exam table with with a pair of velcro nylon cuffs which I attached to the frame of the exam table. I also secured her knees to the knee cructches with padded nylon straps, just above and below each knee and her torso and hips to the table frame with Nylon belts. As I did so, I noticed that Jill's nipples were becoming erect.

I then opened the disposable cath tray set and laid out it's contents on the sterile drape contained in the set, being very careful not to contaminate its contents. As I prepared the kits contents for use, Jill's eyes followed my every motion.

Next, I put on a pair of exam gloves and opened both a packet of anti bacterial towelettes and one containing three Betadine swabs.

As I told Jill to relax, I gently spread her labia with my gloved left hand and used an anti-septic towelette from the cath kit to gently cleanse the entire area around her vaginal introitus, inward to the urethral meatus, taking care to occasionally brush her clitoris in the process. Whenever I did so, Jill’s hips would move perceptibly. When finished, I discarded the towelette and inserted a sterile Collins speculum. As I slowly open it, Jill's urethral meatus came into clear view.

After I located Jill's urethral opening, I discarded the exam gloves and put on the sterile gloves contained in the cath set. After doing so, I picked up one of the Iodine swabs from the kit with my gloved, sterile right hand. After warning Jill that she was about to feel the touch of the swab, I very carefully inserted the tip of the swab about a quarter of an inch into her urethra. Jill flinched just slightly, more in surprise than due to any real discomfort, as I rotated the swab. I paused and told Jill to relax for me. She quickly regained composure. I then proceeded to very gently apply the Iodine to her urethral opening and to the area surrounding, working in a spiral pattern, outward from the center. After a moment's pause, I repeated this portion of the procedure with a second Iodine swab and finished by using the third swab on the periphery of the area that I had just cleaned so carefully.

Next, I retrieved the small, 6cc, Luer tip syringe filled with sterile lubricant from the cath tray, removed the tip cover and explained that I was going to fill Jill's urethra with lubricant, that the sensation would be bizarre but not uncomfortable and then proceeded to gently insert the tip about an inch into her urethra. Once full inserted, I gently injected about half the contents before simultaneously starting to withdraw the tip while continuing to inject lubricant. Jill drew in her breath and squirmed a bit as she came to grips with the odd sensation caused by the cool lubricant. As I withdrew the syringe, a very small amount of the lubrican oozed from her urethral opening.

When I was finished, I explained to Jill that I was about to thread the sterile catheter into her urethra until it reached her bladder, a distance of not more than two or three inches. I picked up the catheter and showed it to Jill as I removed the upper third of its sterile, cellophane envelope and lubricated its tip with the contents of a small packet of sterile lubricant from the cath tray. I explained that the insertion would be only slightly uncomfortable, just a mild urge to urinate and, at worst, a very slight burning sensation, that would last for only a few seconds. I also assured her that, after the insertion, the catheter would be completely painless.

As I finished telling her this, I picked up a small pair of sterile plastic forceps from the cath tray, seized the exposed portion of the catheter and gently removed the remaining portion of the sterile envelope, Shortly, Jill felt the tip of the 16 fr. silicone, Foley catheter touch her urethral opening and pause there. I went on to explain that when the catheter was fully inserted, she would experience an intense urge to urinate; but, that she would not be unable to do so. As I finished my explanation, I asked Jill to take a deep breath, hold it, relax and then slowly exhale.

As she exhaled, I began threading the catheter into her bladder. Before Jill had completely exhaled, the catheter had glided into place and urine had begun to flow into the collection bag. I immediately retrieved a pair of forceps from the instrument tray and clamped off the hose to stop the flow of urine. Next, I retrieved a syringe, pre-filled with sterile saline solution, from the cath tray kit, inserted it into the balloon valve on the catheter and filled the tiny balloon that was now just inside of Jill's bladder with sterile water to prevent expulsion of the catheter and then very gently withdrew about two inches of catheter until the balloon inside her bladder was seated.

Once Jill was comfortable with the foreign object that was dwelling in one of the most sensitive parts of her anatomy, I began to used a small but powerful vibrator, sheathed in a condom and well lubricated with the sterile lubricant that remained in the previously used packet from the cath kit to gently message her clitoris with my left hand. Simultaneously, I plunged the gloved ring finger of my right hand deep into her vagina and started to work over her "G" spot. As id did so, I could feel the catheter encased within her urethral sheath. I maneuvered it back and forth across the base of her clitoris. Jill’s most exquisitely sensitive erotic area was now being stimulated, simultaneously, from both the inside by my finger and the catheter and from the outside, by the vibrator.

This stimulation continued gently but relentlessly. Jill was immediately responsive. She drew her breath in and her hips began to move again. Her breathing became shallow. Her eyes were tightly shut and she began to make a series of guttural sounds and staccato gasps as she achieved one intense, almost convulsive, orgasm after another. After several orgasms, I could tell that Jill was actually becoming exhausted and that the sensation was becoming too intense, even though Jill said nothing; so, I began to taper the stimulation off, bringing her down slowly, gently.

Jill mentioned later that she had never felt a sensation like the one that she had experienced as she climaxed, repeatedly, with the catheter inserted. She described a sensation welling up from deep inside of her and seemingly flowing out over her body to the very tips of its extremities, in wave, after wave, after wave.

After Jill regained her self - possession, I released the clamp on the catheter's tube and allowed the entire contents of Jill's bladder to escape into the sterile collection bag.

Next, I explained that there may, again, be a few seconds of discomfort as the catheter was removed; but, that Jill would then be left with a pleasant tingling sensation and a mild urge to urinate that would be nearly completely gone by the time that she left that afternoon.

With that, I used the syringe to evacuate the sterile water that had inflated the balloon on the catheter. I then had Jill take a breath, hold it, relax and exhale as I gently but quickly withdrew the catheter from her urethra.

As Jill relaxed, I excused myself briefly to wash my hands. Upon returning, without saying a word, I turned to the instrument tray, re - gloved with new, sterile gloves and retrieved a sterile, 18 fr. stainless steel sound, one of a set of six sounds on the instrument tray ranging from 12fr. to 26fr. I began to apply sterile lubricant to the instrument and then turned to Jill.

She looked at the gleaming instrument in my hand, glanced at the sound set on the instrument tray and then, into my eyes for a moment. Her eyes closed slowly and I began the insertion of the first of the four progressively larger sounds (18fr., 22fr., 24 fr. and 26fr.) that I used on Jill that afternoon. During this period, I also used an 18 French vibrating sound and the small vibrator on Jill's clitoris, once again educing a series of intense orgasms.

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