Safety tips

What kind of general advice would you give to someone about using a catheter? How do you learn to use one? How long can one be used safely? What tips do you have?

It's important. You will quite obviously get an UTI you don't use sterile enough devices and also clean the urethral opening well enough.

Remember, its for enjoyment and having an infection ruins the fun.

Yes, it can be dangerous. You need to have a good understanding of the anatomy involved, as well as the technique. And you should always use a sterile catheter or sound.

Toys must absolutely be sterile every time. Lubricant must also be sterile and not contaminated.

Playing with catheters and sounds requires sterile toys. The potential for infection is great. In a man, the potential for injury is also great.

Playing with metal sounds, especially the ones designed to go all the way into the bladder in men can be very dangerous in the hands of an unskilled or uncaring person due to the curves and length of their urethra. Using a curved sound to enter the bladder in a man requires a completely different and higher degree of care and gentleness than inserting a colon tube.

Inserting catheters and sounds in a woman is easy by comparison because the urethra is straight and only 1 1/2 inches long. In a man it can be 8-16 inches long depending on the size of the man, the length of his penis and whether or not he has an erection. PLAY CAREFULLY BOYS AND GIRLS.

Male sounding of the bladder or prostate requires the curved sounds and should only be done with the penis in a flaccid state. should the curved sound be inserted into the bladder then the patient get an erection, the erection must subside in order to withdraw the sound (not a good situation). sterility and "slow" are the key words to remember.

Hi Flyfisher - seeking tips for using catheters.

Well it makes no difference whether for male or female for the most important tip of all which is cleanliness.

Beside only using catheters once and directly from a sealed pack I use a catheterisation pack which contains materials to create a sterile field as well as the means to cleanse the penis or vulval urethral areas. They cost so little that the use of them is a useful scene enhancer too.

Next is the handling of the catheter and this should really be done using only two pairs of sterile forceps. At the very least sterile gloves are the only alternative to this. Warning - normal latex ar nitrile examination gloves are not sterile. Catheterisation packs can be obtained with sterile gloves included.

Perhaps another important tip is to practice using them. And who better to practice on than yourself.

If a lubricant is used, inject it into the urethra from a sterile syringe without the needle. The stub of the syringe is comfortable enough to be inserted for half an inch or so. Use only lubricants without preservative.

Do not move the catheter in and out or reinsert it after removal. Remove slower than you insert. Regarding the length of time it sould be left in situ, different materials can be left for different lengths of time but for the purposes of play an hour is quite sufficient and there's no point in pushing the margins with attendant danger.

Finally, caution the patient that burning sensations on subsequent urination are to be expected for several hours. Drinks and products containing cranberry fruit extracts are highly recommended for cystitis, infection and urethral bruising.

Play careful, Play safe, Play well

Thanks BigK. I myself am not really looking to get much more into reality then I am now, but I figured I'd spur the board a little bit, start some conversations. I think that this is an important section to have and that it just needed to be started up for some questions to start coming. Thanks for the tips though, I'm sure one day I'll use them.

BigK, That was a really great response! I wouldn't want anyone but you to catheterize me. 😃

Seriously, it's good to hear how cautious one needs to be when playing in order to stay safe and healthy. Very good to know. Thanks!

Thank you for your compliment Bethgirl - when I come to the States later this year you might get your wish!

But of course its not only good for health to take those important precautions. Think of the improvement in the reaction of the patient to the enhanced scene!

It goes along with the scrubs and the mask to reinforce the vital illusion.

Kind regards

Just another 'hint' for first timers, or those curious about experimenting..Everything that BigK posted is spot on. I would definitely recommend lubrication to be applied to the urethra itself. This can be done with 2-4cc (less for females because of the shorter urethra) of KY or store-brand surgical jelly squirted and massaged into the urethra with a 'catheter tip' syringe. A catheter tip syringe has a smooth rounded tip that can be easily inserted into the urethra. Most syringes are 'luer-lock' which have a threaded screw tip, but these can be used as second best.

Could you get any serious infections if it isnt done right??

^^^^Yes, absolutely, no question about it.

could you get any serious infections if it isnt done right??

^^^^Yes, absolutely, no question about it.

jacqueline18:

Most definitely, by all means do it the right & safe way. Use sterile product, do not reinsert the catheter after it has been taken out, use another sterile one. Do it slowly, do it gently, do it with lots of sterile lube, do it with sterile gloves, do it with a clean sterile field around the urethra, do it when you are not in a hurry, and most of all do it because you want to. If you catheterize following these simple things, great fun is in store. 😃

Enjoy 😃

G.N.

I have found this site to be vary informational

http://www.urolog.nl/urolog/php/content.php?doc=bladdercath&profmenu=yes

read all the way through it, there is a lot of information all though some of the stuff at the bottom should only be preformed by an actual doctor

Thanks folymeplz for the link,

I have learned something today 😃

Google 'catheter insertion video' & watch how nurses do the insertion. Pre-handling of the materials and how to put on the gloves is important. Don't let sterile stuff touch non-sterile stuff. When all the equipment is ready, hold the penis or spread vulva with one hand. Do not touch the equipment with this hand. Clean off the penis/vulva with cotton and antiseptic from the kit with the sterile hand. Insert catheter with ONLY sterile hand.

For drainage, get a leg bag to walk around or a large bed bag and tubing. It's convenient to hook the catheter to the tubing before insertion. When the bladder is reached, the urine flows right into the bag, and one doesn't get a mess.

Drainage bag. There are lots of them out there, but the one made by Conveen/Coloplast has advantages. The straps are Velcro sealing, and wide. Comfortable for long wear. The valve is a flip type, more secure than a twist. The tubing is corrugated plastic, and won't kink like rubber. Pay $8-10 & get a product usable for months. Pay $4 and in a week it's gone.

The only real qualm that I have with the above mentioned tips is the injection of the lubricant into the urethra due to the fact that as soon as you touch the urethral area with your gloves you have just caused that hand to become non-sterile no matter how much betadine has been used and it will make things MUCH more difficult to finish the job. When we do caths all we do is use the packet of provided sterile jelly in the collection tray (both from the kit as mentioned above) and dip the end of the catheter in it. It will provide enough lubricant and leaves both hands sterile until insertion of the catheter. DO NOT use a tube of KY or other store bought lubricant. The first time a non-sterile finger touches one of these tubes you have opened yourself to risk of infection. As I said in the post about being sterile, non-sterility = infection and death.

I like catheters but I avoid them due to the burning urination afterward. I've heard there are certain high end catheters that do not irritate the urethral lining as much and thus do not sting, but I do not know. Does anyone know if there is a way around this?

Actually, I think that some people are over reacting. Intermittent catheterization - as opposed to putting in a foley that will be staying in for some length of time - is a clean procedure but does not need to be a sterile procedure. Indeed, there are people who have to catheterize themselves multiple times per day with strait cathethers, who simply employ clean technique, and have no problem.

That being said, there is no excuse for sloppy technique, and everything should be as clean as possible. Catheters are cheap, and they shouldn't be re-used. Your best bet is to get a pre-packaged catheter tray that includes the cath, insertion supplies, and if the catheter is a foley, the kit should contain the collection bag.

Read up on how to do this before you start playing, be careful of your technique, and play safe.

Doc

Anytime you invade the UTS with a foreign object, you are subject to an infection. Some more than others

[quote author=boomers999 link=topic=4623.msg276486#msg276486 date=1266186892]

Anytime you invade the UTS with a foreign object, you are subject to an infection. Some more than others

[/quote]

may I please just amend that slightly, boomers999. to read:

Anytime you invade the UTS with a foreign object, you are POTENTIALLY subject to an infection. Some more than others

It's by no means inevitable and indeed with proper precautions its a very small risk. I will only catheterise if I have a purpose made catheterisation pack -they're extremely cheap and have all the materials, swabs, antiseptics etc to create a sterile field. What is certain is a couple of times after removal urinating will 'burn' but that is bruising to the urethra.

As for 'Is urethral play dangerous' the original question. Well yes it is! Like crossing the road, if you don't look to what you're doing its very dangerous indeed!!!!

One of the marks of an addiction is "escalation," that is, pushing things for more 'high.' One wants to climb a higher mountain, jump off a more dangerous cliff...or put in a bigger catheter.

The limit of the catheter is likely to be the size of the first inch and half of the urethra: the meatus and constrictions just inside. These can be dilated. According to an old anatomy text I read, the average male has about a 24 FR meatus and the rest of the urethra is about 30 Fr. This varies of course, so man who has an 8 inch penis might be bigger all over, compared to a man who has a 3 inch penis.

I'm a male who loves self catheterization. worried about the sterility, or lack of it on my trusty fish tank rubber hose so i bought sterile,single use catheters on amazon. to my surprise {and dismay} they are painful to use, even tho they are smaller diameter than my tank hose, and each time i used one i ended up with a little blood in the tube which never happened with my rubber hose. these are name brand catheters from a reputable medical supplier,but somewhat stiffer than my rubber {neoprene?} fish tank hose. i've stopped using them until i figure out what's going on. any ideas or suggestions?

Indeed I do. It's entirely possible that by using a neoprene (or whatever) fish tank hose, you've caused the development of some scar tissue. That would certainly explain the bleeding and the discomfort. What is it with guys and fish tank hose? I realize it's cheap and easy to come by, but it's not sterile, and it's not made to "go there".

What size catheter did you buy? And did you use enough sterile lube? When I catheterize my partner, I always use a small sterile syringe to instill a few mL's of lube into his urethra, and I always lube the catheter well. We use 14FR caths for him and I've never heard him say anything other than, "Oh baby, that feels so good", when he can talk at all!

If I were you, I'd stay well away from anything that's really meant for the aquatic environment. If you're going to play, play safe, and play with good equipment. You (and your playtime) will last longer that way.

My two-cents worth, any other docs have thoughts they'd care to share?

Play On!

LadyDoc

Thanks for the quick response. my catheters are 16 fr. and go in easily. once in the bladder any movement i make results in pain and i think that's where the bleeding is from. i've been catheterized in the hospital and walked around with one in me, no problem. of course those are the balloon type, which also require sterilization, something i'm not equipped to do.

Okay, your response clarifies a few things. You were using an intermittent catheter, and they are not meant to be held in. No wonder you were having pain! As for not being equipped to be sterile, I say "hogwash". I don't play in an operating room (well, only on special occasions). You can purchase Foley catheter trays that are prepackaged, sterile and sealed with everything you could possibly need to self-catheterize, including a syringe of sterile water to inflate the balloon.

Having said all that, I also provide the caveat that you shouldn't catheterize yourself or anyone else until you've been taught how to do it by someone qualified. There are a few tricks of the trade that are best learned with professional guidance. Video instruction is a poor substitute.

Play On!

LadyDoc

Skyking and rik both bring up very good points where the pros and cons of confidentiality are concerned, a Karma for each! I wasn't really suggesting that you approach your doctor about this. My concern is that you protect yourself from permanent damage or a serious infection by playing safe and playing smart. If the only way you can learn is "on the job" training, that's fine. Many of us have done that and lived to tell the tale. Those of us that have experience feel it's important to pass along the benefit of our knowledge, that's the best part about this forum, and that's all I was trying to do.

I'm lucky in that I live alone and don't have anyone looking over my shoulder. I can pretty much do what the heck I please when it comes to medplay. I also have a stellar medplay partner and when we're together, we each live to indulge the others' fetish fantasies. Don't think for a second that I take my situation for granted, I am eternally thankful. My heart goes out to those on this forum who, for whatever reason, can't share the fetish with their significant other.

Play On!

LadyDoc

Some catheters are more irritating that others... some that are siliconized, may enter easier, but i've found that some do not... "lubricious" catheters many times are more irritating than others... sometimes the "eyelets" at the tip of the catheter are sharp, making for more painful passage. If the fish tank tube went in easy, it's was probably plastic, yet maybe more rigid than a foley. A little blood every now and then never hurt anyone, but more than that is worrisome... wonders whether a small stricture or "stenosis" is present within his urethra.... something a loving "scope" would surely investigate (and since I am so nutz about these, the thought of being scoped makes THIS urethra leak and prepare itself for being penetrated and violated!).

[quote author=brick link=topic=30243.msg284318#msg284318 date=1269563720]

professional guidance,huh? so go to my doctor and tell him that i do this for fun,and can he show me some tricks? not gonna happen. i'm also hampered by doing this on the sly. wifey would'nt understand. the catheter trays are really expensive and i'm nervous about having stuff like that delivered. nearly got caught when the intermittent catheters showed up, and most business's won't deliver to a post office box. THAT'S what's with men and their fish tank tubing.

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I have a good system if i need various medical equiment sent to me i use the post office just forewarn them that your expecting ive used them all over uk with no prob, please dont use tubing from fish tanks i think it be far more worse if you end up in hospital than your partner catching you with a foley.

Docj. keep on cathing 😜