Cathing during enemas

I was wondering if anyone does cathing, or has been cathed, during an enema session. I was in the hospital some years ago and was cathed by a nurse as I was on pain meds and couldn't get my bladder to empty. They were in/out caths, inserted only to empty the bladder then pulled out. At first I was very nervous and thought it would be painful, not to mention embarrassing. However, it was not at all painful and the sensation almost gave me an erection...with the nurses aid holding my penis.

Since people are often cathed, I feel it is safe but have never had the nerve to cath myself. I would love to find out how it would feel to have a cath inserted and then given an enema at the same time. The thought of having someone control both holes at the same time would seem phenomenally erotic providing it's done safely, of course.

Alex

Some people feel pain with caths, others don't. For me it stings, but not bad. i always have lidocaine jelly to inject in a guys penis before i insert a cath, but i ask first.

The digestive tract is not a sterile environment, it's actually considered the outside of the body. The urinary tract is sterile, so any time you insert something into the urethra, there is a risk for infection. In hospital, inserting a cath is a sterile procedure.

There are some unusual hazards in cathing a male. The length of the male urinary tract is such that infections are very unusual. Under normal circumstances these infections are almost always the result of a serious problem, that WILL be investigated until a cause is identified. Consequently, if you do cath, and do end up with a UTI, you better tell the doctor what you did, otherwise a great deal of time, effort, expense (and often unpleasantness) will be expended looking for a reason for the infection. This is one of the few situations in Medicine where they really WILL keep looking until they find something.

The female urinary tract is much shorter, and as a result is much more prone to infection, and such infections do not merit anywhere near the scrutiny that accompanies a male UTI.

So if you want to do it, go right ahead, but be careful, and if something does goes wrong, you need to be upfront with whoever treats it about what went on.

While I have done it, and had it done to me, I do avoid it. Whether you look at it as a clinical convenience, because it's not a necesity, or you're doing it for pure "play" value the risks far outweigh the gains no matter how cautious and well trained you are. I don't think guys in many cases realize just how painful (and frightening, if bleeding is present) urination can be after a cath has been placed for more than half and hour or so. I have seen a professional football player brought to tears after a cath from the pain. Weigh the value of using a cath for play very carefully, please.

Play safe!

While I haven't ever done cath play, i would like to try it sometime, both giving and receiving. I would prefer at least the first time to be taught by a professional, and would only want to do it with proper sterile /safe procedures.

@beccarnmommy I know care should be taken, but it really can't be that difficult to do safely. Medfeters cath all the time, and many people with health issues cath every day. They certainly don't get infections constantly. I watched a YouTube video of a young woman who needed to cath for some reason. Obviously it wasnt explicit but she was just sitting on her kitchen floor and did it in 1 or 2 minutes, start to finish.

I don't know about a true UTI, but I have had prostatitis. The doctor checked it out, gave me an antibiotic and told me to come back if it didn't get better. A few months later it returned, so they tried a different antibiotic and some alpha blockers for a few months and that got it. There were no questions about how I got it (still not sure, really). I got the impression that if it came back a third time there would be more investigation, though.

The prostatitis was definitely not catheter related.

I would be VERY careful during an enema as the enema activities would make cross contamination more likely. Place it before or place it after you're done.

@CJ1999 I think they do need to be done carefully because if you punctured something there would be a huge problem. Females have a straight shot for the most part and based on anatomy it is more difficult to insert a cath into a male, but there is still danger. Everything each time a cath is done needs to be sterile.

@CJ1999 I think they do need to be done carefully because if you punctured something there would be a huge problem ... Everything each time a cath is done needs to be sterile.

@caresabouthealth Yes, that's why I'd like to have a medical professional show me how to do it at least that first time. Fun is fun but still need to be careful about it.

I have administered several caths during play exams, mostly to women. I learned how to do them in school.

It is much easier, and not at all painful for women. I like to administer them to get a urine sample if the sub resists giving it to me in a cup (or isn't able to). I've never tried doing it with an enema at the same time; in some ways I could see it working better for a woman than a man, with her on her back and legs in stirrups during the procedures, especially if some masturbation was included in the process.

For men, I would think it would be very painful to get an erection with a cath inserted....although I guess it would work if the guy had Erectile Dysfunction.

I appreciate everyone's reply. Having read each response carefully, I've decided to let common sense override sexual desires in this case and not go the cath route. The risk for problems and unhappy endings seem too great to pursue. SAFE play is the best way!

Thanks again, all!

Alex

@caresabouthealth said

Females have a straight shot for the most part and based on anatomy it is more difficult to insert a cath into a male, but there is still danger.

That is NOT correct. The female urethra has curves and is not as straight as people believe.

You can google the shape of the female urethra.

My girlfriend and I do it to each other just before an enema and , while sterility is a must, it is not so hard. Xhamster and Pornhub have short videos showing the proper procedure. For men, an injection of 5 ml. or a little more of sterile lubricating jelly into the urethra with a Luer syringe just before insertion of the catheter facilitates the procedure. It can be done with an erect or flacid penis. There is a slight discomfort as it passes the prostate but from there it is a short distance to the bladder. Once in, the urine flow will start. It is a good idea to be well hydrated( the enema should help with that) so that you pee after withdrawal of the catheter. Insertion should always be slow. My girlfriend has less discomfort during insertion. It does sting the first couple of times you urinate due to the jelly in the urethra but once that is washed out, all is back to normal.

When I was much younger, in my 30’s, I played with catheters because I enjoyed the feeling of having the tube going in. Just another sensation that was new and different. I would combine it with my enemas sometimes. It was exciting doing so. I would just use ¼ inch aquarium tubing stretched out at the end by heat and sanded smooth with very fine grit sandpaper. It worked great and no scraping that I could tell. I did it while taking an enema several times. Inserting, draining, filling (young and foolish at the time and didn’t know better. Please do not do this), and withdrawing the tube while receiving the enema. It was a bit of a turn on for me. Sometimes I would push the tube in and out several inches while getting the enema. I was always careful to sterilize the tube before and after use with alcohol and well lubed when inserting. But I got a bladder infection. Couldn’t control my urinating. Wet my pants a few times before it got cured. Took about a week if I remember right. Other than a few hospital stays, I have never used any form of catheter since .

I have been cathed and I have done it on my own because I enjoyed the sensation. But since it requires being very careful I don't do it on my own any more.

Just a reminder: Alcohol does not make things sterile. It kills some bacteria and viruses, but by no means all. If you need sterile (and you do here) you need to use a different method.

Alcohol can indeed make things sterile, but it takes a very long time (hours, not seconds), far longer than the few seconds it takes to wipe something. While an alcohol swab is used prior to most injections, it does not render the area sterile by any stretch of the imagination. The mechanical wiping of the skin has a far larger impact on bacterial count than does the alcohol! There was a fascinating study done about 20 years ago involving diabetics who inject insulin, often several times per day. A comparison was made between those who swabbed prior to injection and those who did not and even those who injected right through their clothing. The study found no difference in skin infection rates among those groups! It turns out our immune system is very good at dealing with the organisms that live on our skin. The swabbing of your skin prior to an injection is done because it is now expected, however unless the patient is immunocompromised, it doesn't do anything to prevent infection. The skin however is not lining of the urethra, so I am not suggesting that you don't need to be extremely careful with catheters, only that an alcohol swab is in fact a pretty ineffective in disinfection or making things sterile. If you really want sterility you can autoclave it (basically put in a pressure cooker for a while), or you can use truly vast amounts of gamma radiation. Nothing else works anywhere near as well.

Alcohol does not make things sterile. It kills some bacteria and viruses, but by no means all.

i think this is a, if not 'the', important point. There are all sorts of pathogens that can infect us. Some love and need oxygen, others die from exposure to it (aerobic and anaerobic, respectively). Some love heat, others not so much (enter boiling water), etc., etc..

The latest evidence is there are 10x more bacteria living in our gut than cells that make up our entire body. Some of them have great benefit in our gut, but if they get in our urinary tract (for instance), they'll make us sick:

https://www.sciencenews.org/article/body’s-bacteria-don’t-outnumber-human-cells-so-much-after-all

i recently learned about the changed number from a patients spouse, who also happens to be a professor of microbiology at a local state university, after i quoted the old number of 20x to her husband lol. Which is, i believe, another good point... even scientific evidence changes. Pretty much every study i have ever read has in the summary: "more research is necessary." i see the body as an infinite universe to be explored, move over Captain Kirk.

Sorry, my point is, i believe the best advice to follow is backed by evidence, not just an authoritative attitude by someone on a kink site (even if you are 'sub' lol). To that end, i looked up a Journal of Clinical Pathology source (not just a google opinion from someone purporting to be an authority) for any interested in reading up on this topic. Caveat: this is from 1964 (i couldn't find anything more recent that was free), so the evidence is not recent, but still a lot of relevant info for those who are interested. "Bacteriological Complications from the use of Urethral Instruments: Principles of prevention":

http://jcp.bmj.com/content/jclinpath/17/5/492.full.pdf

I've always worried about contamination from the enema/anus to the catheter/urethra but the idea is very appealing. Cath kits come with swabs to clean the penis and i wonder how effective they are, either iodine based or BZK, given the comments here about alcohol's limited value...

But I try to use sterile procedure as much as the insertion kit and sterile cath allow.

Don't mix cathing with enemas.

Probably good advice. Male Urinary Tract infections attract not a little, but a lot of attention because under normal circumstances they should never happen. When they happen for no obvious reason, the assumption is that something is very seriously wrong. Unless you tell your provider what went on, the standard response to such an infection is a very extensive investigation to find out why because such an infection almost always indicates that there is something seriously wrong and whatever it is, it needs to be identified and dealt with. The leading candidates are usually congenital malformation (found with extensive imaging), or cancer. You can run up some very large bills in a hurry with this one.

Probably good advice. Male Urinary Tract infections attract not a little, but a lot of attention because under normal circumstances they should never happen. When they happen for no obvious reason, the assumption is that something is very seriously wrong. Unless you tell your provider what went on, the standard response to such an infection is a very extensive investigation to find out why because such an infection almost always indicates that there is something seriously wrong and whatever it is, it needs to be identified and dealt with. The leading candidates are usually congenital malformation (found with extensive imaging), or cancer. You can run up some very large bills in a hurry with this one.

@mattheww50 That seems quite alarmist, wouldn’t you say? I don’t think a males UTI is going to panic the Drs and start cancer treatment. As for something to tell the Dr for a reason? How about “I had anal sex with my wife.” Get some Cipro and go home.

As for cathing while taking an enema? Doesn’t sound real risky to me, as my enema administration doesn’t involve the tip of my penis. I would certainly put the Cath in first to prevent any cross contamination, and be cautious throughout the activity, but that would be SOP for cath play I would think.

I may sound alarmist. But I had the misfortune of having a UTI as a teenager, and I discovered just how much effort would go into finding out why first hand. For me they never figured out why I got it, and never found anything unusual, but a very large amount of time, money and effort was expended looking for something that turned out not to be there.

Male Urinary Tract infections attract not a little, but a lot of attention because under normal circumstances they should never happen. When they happen for no obvious reason, the assumption is that something is very seriously wrong. Unless you tell your provider what went on, the standard response to such an infection is a very extensive investigation to find out why because such an infection almost always indicates that there is something seriously wrong and whatever it is, it needs to be identified and dealt with. The leading candidates are usually congenital malformation (found with extensive imaging), or cancer. You can run up some very large bills in a hurry with this one.

The above certainly doesn’t correspond to my experience. I went to my doctor recently with some annoying symptoms—pain urinating, blood in sperm, pain in one testicle, etc. etc.—which I attributed to prostate trouble. He examined me, ordered ultrasound, blood and urine tests and at the same time prescribed an antibiotic, suspecting a UTI and perhaps prostate infection. He also booked me an appointment at a prostate cancer centre, just in case. The ultrasound revealed no significant problem. Urine test revealed an E. coli infection. Two weeks of antibiotics cleared up the symptoms, and at the end of that time PSA had dropped from 15 to 5, ESR from 40 to 8, no bacterial growth. I attended the prostate cancer centre, test results in hand, and they judged that since the problems I had been having were cleared up with antibiotics there was no reason to investigate further unless I wanted to. We agreed I would keep an eye on things. All pretty undramatic, really. And as for bills, I paid something like $100 for three appointments; but then health care systems differ a lot between countries, especially between the US and almost anywhere else.

And to say something vaguely on the topic of the thread: no, never been cathed and absolutely no interest in it.

I may sound alarmist. But I had the misfortune of having a UTI as a teenager.

....and, according to your profile, you are now over 60. A couple of thoughts: things have changed since the 70's, and the people on Zity are not "teenagers." I.e., if there is a question of STI with a teen, the scenario changes because there is the possibility of abuse to be concerned about.

The reason info needs to be obtained about how one got a UTI is to get a proper diagnosis so the appropriate antibiotic/ dosage can be given (that's actually true about any infection). An infection that may occur from cross contamination while mixing enema play with cathing is going to have different bacteria to kill (most often E coli) and will require a different antibiotic than a common STI like chlamydia or gonorrhea.

We have done this with me giving to my partner.

But as long as you cath first following sterile or aseptic technique before arranging the enema then there is no real risk of contamination and causing UTI.

Just know what you are doing, consider the order of things and wash hands / wear gloves.