Oh yeah, i've thought of this on a lot of levels.
i'm a critical care nurse and was taken to the hospital in an ambulance once from practicing Bikram (aka "hot") yoga. i was in what amounted to a speedo since the yoga is practiced in a 105 degree, 50% humidity room. i was sticky and wet. Thank goodness the charge nurse saw my name and gave me a private room.
As a sub, i have chastity kinks and have wondered if i had a Dom who locked me in chastity and i ended up in the ED (where everyone knows me).
On another note, i had a year and a half connection with a Dom who's goal (i learned later) was to open my 'hole.' It was His signature of sorts, and it was part of His creative energy to 'change my hole from an anus in to a pussy," making it more receptive than retentive. He knew what he was doing and when i have to have a bm, i cannot wait forever (understatement). i've trained my inner muscles for squeezing and milking a lovers cock, so i can 'hold it in,' but it's an effort. Honestly, the kinky sub in me is thrilled, it's a permanent reminder and connection to Him, it is indeed His 'mark' on me and i'm reminded about it daily. But, i wonder as i age if that will run into a problem of incontinence? All my kinks are individual connected. I.e., i relate that attribute to the Dom who fashioned it. i get no thrill from solo or strangers, my thrill is a direct connection to another who is also 'thrilled." Hospital caregivers are not typically 'thrilled' by bowel incontinence.
And yet another. i have a drawer full of toys. i bought them all with wishful thinking of a Dom who likes and wants to use them on/with me, but meanwhile, there they sit. I have a fuck machine in the closet. i wonder about the response of my kids (both adults) finding this stuff if i died? They know i am gay, but are religious and don't approved or accept me, so it would likely be pretty 'disgusting' for them.