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Cath Question - 2/16/2005 8:35:34 AM   
MsCameron


Posts: 238
Joined: 10/14/2004
From: Ontario, Canada
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Does anyone have any experience in capping a cath off for an amount of time? How much time would you be comfortable with before allowing draining?

Thank you,

MsC

_____________________________

I'm reaching for the random or what ever will bewilder me.
And following our will and wind we may just go where no one's been.
We'll ride the spiral to the end and may just go where no one's been.
Spiral out. Keep going, going...
Lateralis.Tool
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RE: Cath Question - 2/16/2005 11:01:21 AM   
MadameBette


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From: Long Island, NY
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I've never done it Lifestyle, but when I worked in a hospital, it was capped for two hours, then drained when 'retraining' the bladder after trauma (like childbirth).

(in reply to MsCameron)
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RE: Cath Question - 2/16/2005 4:35:38 PM   
FangsNfeet


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You normally do it untill they can't take it anymore. Just like any other tourture session.

Either way it's never healthy to cap it at all. Just like a person holding it in. Bladder streching and all that. Also, studies show that holding urination can lead to impotence. But that's just the safety statement for you.

Anyrate, if a cath is capped to long, urine will begin to leak outside around it. Back teeth can only float for so long.

Have fun and enjoy.




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RE: Cath Question - 2/16/2005 6:26:50 PM   
quietkitten


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Being in the medical feild, I have had some experience. I work in Rehab where we do a lot of bladder retraining. The longest I have ever capped/clamped a catheter is 4 hours, but frankly it really depends on the persons level of discomfort and of course how much fluid they have consumed.
For males it can cause trauma to the bladder neck and prostate, for females it can can stretch the ligaments holding the bladder and cause permanent incontinence. I would suggest that you take cues from your sub and remind them to be honest and not over endure to please you.

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RE: Cath Question - 2/18/2005 3:42:50 AM   
riversimplicity


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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*

_____________________________

~river
(property of Erus)

I want to touch
the sharp taste
of the moment in between
the second just before
the place where
the breath catches
in anticipation.

Excerpt from The Moment Before, Oriah Mountain Dreamer

(in reply to FangsNfeet)
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RE: Cath Question - 2/18/2005 8:35:05 AM   
MsCameron


Posts: 238
Joined: 10/14/2004
From: Ontario, Canada
Status: offline
Thanks to all that answered my question.

Risks are noted with thanks.

I'm not inexperienced with cath play and feel comfortable with a 2 hour capping period. Especially if the badder is drained on insertion.

I use a 30cc Foley cath but only ever inject 15cc to inflate the balloon as I never want to risk the balloon breaking. Having said that, I also recognize that a cath can be defective. That's a risk you take when doing this type of play.
As well, I use a sterile field as much as I can.

The psychological impact of this is pretty powerful :) and that is more my aim rather then taking it to a point of 'I can't take it anymore'. He can certainly think I will not allow release :) and doesn't have to know when I do.

If there is anything else anyone can comment on, by all means. I can never learn enough :)

MsC

_____________________________

I'm reaching for the random or what ever will bewilder me.
And following our will and wind we may just go where no one's been.
We'll ride the spiral to the end and may just go where no one's been.
Spiral out. Keep going, going...
Lateralis.Tool

(in reply to riversimplicity)
Profile   Post #: 6
RE: Cath Question - 2/24/2005 7:18:07 PM   
TonyBFG


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Joined: 8/29/2004
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It would depend on how longer normally the person can hold onto there urine. Clinically a catheter is not normally capped for more than 4 hours.

TonyBFG.

(in reply to MsCameron)
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RE: Cath Question - 2/25/2005 5:21:44 AM   
MsCameron


Posts: 238
Joined: 10/14/2004
From: Ontario, Canada
Status: offline

quote:

ORIGINAL: TonyBFG

It would depend on how longer normally the person can hold onto there urine. Clinically a catheter is not normally capped for more than 4 hours.

TonyBFG.


I thought about this as well. He is a camel. I've never seen someone who goes as long as he does.
Still, general consensus seems to be 2 to 4 hours and in this case, I will stick to that.

Thanks all,
MsC


_____________________________

I'm reaching for the random or what ever will bewilder me.
And following our will and wind we may just go where no one's been.
We'll ride the spiral to the end and may just go where no one's been.
Spiral out. Keep going, going...
Lateralis.Tool

(in reply to TonyBFG)
Profile   Post #: 8
RE: Cath Question - 2/25/2005 6:02:15 AM   
baudeight


Posts: 18
Joined: 1/24/2005
Status: offline
thank you river simplicity

a professional getting on their soap box as you did is a benefit to all and hopefully those seeking to indulge in this area for the first time will take you up on your generous offer to educate.

thank you again

(in reply to MsCameron)
Profile   Post #: 9
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