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Paraphila is an umbrella term used to cover the family of philias. In sexology, it is sometimes more widely used to cover atypical sexual interests or deviances. While the word paraphilia may seem alien, the philias it encompasses may seem slightly familiar. Think fetishes and unusual desires and you're on the right track!

Saturday, 19 May 2007

Let's Play Doctor

While the thought of a nurse in a short uniform or a doctor slipping into a pair of latex gloves sends tingles through many a groin, for some medical care as opposed to tender loving care is needed to send their libido into overdrive. Trawling through various medical fetish sites, I came across a toy kit called "Urethral Sounds" and felt unable to resist checking it out.

These toys can add some spice to urethral play. Inserting objects and sometimes even into the bladder is the name of the game. While these games are usually associated with medical play, such as speculums, rubber gloves and so on, they are more frequently rooted in BDSM with their focus on domination and submissive. For the bottom (submissive), the thrill comes from being violated. Combined with the ultra-sensitive nature of the urethra lining, it can be quite a kick according to those who enjoy this play, such as Fozzie of Fozden.

Two types of instruments can be used in this type of play: sounds and catheters.

Sounds are similar to wands and made from surgical stainless steel. They come in a variety of widths and are inserted into the shaft. A wide range of sounds are available - some are curved in line with the penis, whereas others are straight - forcing the penis to adhere. While sounds stretch and dialate the urethra, catheter play aims to reach the bladder.

Catheters are much longer than sounds and usually constructed from latex or plastic. A variety of catheters are available for play. Some catheters have small balloons that inflate when they reach the bladder, thus emptying it more efficiently. Once catheterised, the bottom has no control over their bladder function. If the catheter is left open, their bladder will drain completely and if clamped, they will be unable to piss, no matter how much they want to! There are several kinds of catheters, however, by far the most common type for use in sexplay, is the Foley catheter. This has a balloon which allows it to be left securely in place for a significant length of time, whereas those without will slip out. A variety of other equipment is essential for this type of play, including: sterile hypodermic syringes, sterile hypodermic needles a sterile catheter syringe, latex gloves, sterile lubricants like KY, sterile towelling and items for cleanup such as flannel, soap and water.

As with any BDSM play, ground rules for safe play must be followed. Be safe and be sane. Also, its important to bear in mind the safety issues involved with this type of play.

  • Ensure that all equipment is clean and sterile if possible. With sounds, this is not so important, but you should never insert unsterilised objects into your bladder.

  • Don't use any anesthetic in the hopes of deadening the pain as it is not only dangerous but will not allow you to know your limits.

  • Use only water-based lubes to ease insertion. Lubes containing nonoxynol-9 or flavoured lubes will irritate your urethra. Oil-based lubes should be avoided as it is difficult to expel aftewards.

  • Urination following play should be encouraged as it will help flush out residues and bacteria which you may have introduced.

  • If you think you might have an infection, see a doctor ASAP.

  • Don't attempt to flush or force liquids into the bladder.

  • Do not let go of the sound once its inserted. When it's in more than 4", it will turn a touch and pull the rest of the sound in...apparently it will come out naturally if you lose grip, but I'm not so sure I'd take that kind of gamble - try explaining that at A & E!