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riversimplicity -> RE: Cath Question (2/18/2005 3:42:50 AM)
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Just reading through these posts and i really MUST get on my soapbox, but i will try NOT to be too obnoxious about it. i will say that the following opinions are my PROFESSIONAL opinions as an RN.
play catheterization:
Frankly, (although my Master disagrees with me on this one, and His word is final in my life) i think its a BAD idea to cath an individual, for play, period; and an ESPECIALLY bad idea if the person doing it is without training in the proper techniques (sterile techniques and procedural steps, btw, my Master agrees with me on this second point *winks*).
If done improperly, whether the subject is male or female it matters not, the subject is put at risk for infection and damage to the urethra/urethral orifice/bladder wall, etc. This damage could be permanent and require surgical intervention for correction. (If anyone is interested in learning proper cath insertion techniques, please feel free to write me and i will run down the procedure, in detailed steps, including nursing text references)
Now, onto "capping". "Capping", or rather clamping the tubing of the catheter, is done for therapeutic reasons, as in the examples already given here for bladder control retraining. There is no "universal set time" for how long it is left "capped". It truely depends on the amount of fluids the person has consumed (either orally or through intravenous infusion) how fast their kidneys are filtering said fluid load, and the individual's previous known tolerance of holding fluid in the bladder in known increments of milliliters, as well as constant and trained assessment of bladder distention.
This is where i get into "capping" for play and torture. If this is what you want to do, fine, do it, but make sure that you are WELL educated first, or else you could do serious damage to the individual you are playing with, up to and including killing them.
Again, regardless of whether the subject is male or female, overdistending the bladder can do a multitude of things to that person. In normal everyday life, if our bladders get overdistended, the body will respond in self-preservation and override our micturition response (the internal circular muscle response of triggering our concious awareness of our need to urinate and ability to conciously override it to "hold" it until later) and we WILL simply wet our pants. Now, say we have a catheter inserted (PROPERLY *winks*) into the bladder through the urethra and we've got the tubing clamped so that the bladder fills. If the amount of fluid goes beyond physiological safety limits, the ability of the body to override and simply urinate anyway is foregone and the bladder will distend beyond what is safe for the homeostasis of the body.
As the bladder distends, other than a few minor variations owing to gender, the following will occur: muscle cells in the bladder wall will tear, possibly leading to future incontinence issues; urine will back up into the ureters (tubes leading to the kidneys) and into the kidneys themselves, leading to kidney infection and possible life threatening electrolyte imbalances in the body, as well as impurities that could then invade the blood stream. The bladder itself (much like a balloon) could actually burst causing urine to spill into the abdominal cavity, bursting not only causes internal hemorrhaging but it also causes toxins to be dumped into the abdominal cavity, poisoning your subject, causing death.
Now, with proper training in human assessment, one could conceivably monitor their subject making sure that the "capping" doesn't result in any of these possible and likely consequences; however even with proper training be aware of the risks. Get educated, truely educated, then go out and have fun torturing your subject to your heart's content.
Now...last point (standing tall on my soapbox): capping until "They just can't stand it anymore"is a BAD, BAD, BAD, HORRIBLE, ROTTON, FRIGGEN DANGEROUS, and IGNORANT idea!!!!!!!!!!! How do you know that they "can't stand it anymore", how do you know when the biological mechanisms are going to take over and your subject's bladder is going to burst if you only judge it on your perceived notion of their discomfort?
Nuff said, i know i've rambled and i'm probably going to get shot down, and many many many terrible emails are going to be written to my Master saying what a horrible little slave i am...so be it....i believe in being educated and aware of the risks before you participate in whatever kinky behaviors your hearts desire. *shrugs*
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