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Subject: {ASSM} RP: Peter Files.11 - Enema Practice
Date: Tue, 11 Jul 2000 09:10:13 -0400
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PeterFile#11: ENEMA PRACTICE
In which Nurse Collins recruits Peter for a
demonstration of patient care procedures.
Editor's Note: Every practicing nurse is well aware of the
involuntary sexual arousal experienced by many male patients
receiving enemas. The symbolically submissive posture of the
enema recipient, the forced exposure of private parts of his
body, the sense of personal invasion, and (most importantly) the
intimate pressure of the warm enema fluid on his sensitive
prostate gland often produce a sexual response in the male.
Although the response is harmless and entirely involuntary,
and usually goes away as soon as enema delivery is completed,
many men become highly embarrassed over their reactions.
Generally a nurse should ignore penile erections or other
signs of mild arousal during administration of the enema
to avoid embarrassing her patient further. (Of course she
should take care to adjust the position of the patient's
penis as necessary to avoid discomfort.) She may wish to
discretely reassure her patient that such reactions are
entirely normal and he need not be embarrassed by them.
But men with lowered sexual activation thresholds,
especially habitual masturbators, are more susceptible
to the sexual stimulation of the enema and it is
necessary to make some explicit accommodation of
the effect. Awareness and proper management of his
sexual arousal is necessary for successful enema
delivery as well as maintaining patient comfort.
We advise the nurse to be sympathetic to his situation,
since the patient can not help his responses to the enema.
In this chapter Peter's nurse exhibits a laudable example
of sensitive, patient-centered care.
--Dr. Margaret Wilson, Registered Genital Therapist
Peter awoke groggily from his afternoon nap and looked
slowly around the hospital room. He had been there for several
days now, while some routine tests were being performed. The
inactivity and lack of diversion would have been onerous for
most people to bear, but to a young man of Peter's inclination,
the hiatus was welcome, offering unlimited opportunity to
indulge his private pleasures. Lying there in bed, he slid his
hands down beneath the sheets until he found his penis snuggled
between his legs and, sighing deeply, began to stroke it in a
familiar caress. Thus he passed the days, alternating sessions
of prolonged, languid masturbation with pleasant, restful naps.
After the embarrassing incident yesterday, he was being
especially careful today to hide his actions under the covers.
He had been lying with the sheets pulled down to his ankles and
hospital gown up above his waist, stroking his naked penis with
complete abandon. As he crossed the point of no return and felt
the flood of climax approach, the door flew open and a nurse
walked in, just in time to witness his eruption. Although she
seemed to ignore his actions completely, he was mortified with
embarrassment. Afterwards, he could tell that the word of the
incident was circulating among the nursing staff, by the
half-hidden smiles and sidelong looks of the nurses attending
him.
He was grateful for his precautions today, when again
the door flew open. In walked the chief floor nurse, Mrs.
Collins, followed by two pretty student nurses. Peter instantly
ceased his hidden manipulations, but blushed as he realized that
the location of his hands was clearly visible beneath the covers.
Nurse Collins said, "Hello Peter. I'm showing Alice and
Lisa some basic patient care procedures today, and we need a
demonstration subject." She glanced at the bulge of his hands
under the covers. "You weren't busy, were you?" Her meaning was
unmistakable.
"N...No, Ma'am," he stammered.
"Good. Bring in the equipment, girls." He watched as
Alice wheeled a small cart into the room. On it were a coiled
rubber hose, an assortment of straight plastic tubes, and a
rubber bag about the size of a hot water bottle. He did not
recognize the function of the articles at first.
"Wh...what are you going to do?"
Nurse Collins smiled. "Don't be nervous, Peter. I'm
merely going to demonstrate to Alice and Lisa how to administer
an enema."
"What? No! I don't want one, I don't need one!"
"That is beside the point, Peter. This is a teaching
hospital, and our patients must cooperate in the training of our
staff. Don't be embarrassed, we are all nurses, and we are
accustomed to seeing a man naked. Now stop making such a fuss
and roll over on your stomach." She grasped the covers and
quickly jerked them down, leaving Peter exposed to view. The
front of his gown was still raised from his interrupted
activities, and his partly tumescent penis, glistening with the
dew of its arousal, was revealed to their view. The two student
nurses giggled at the sight, and he quickly rolled over to hide
the incriminating evidence.
"That's better. Prepare him, girls." He suffered with
embarrassed patience as he felt the rear of hospital gown raised
and secured above his waist. Alice placed her hands firmly on
either side of his hips and forcefully lifted them, as Lisa
gently urged his knees forward underneath him. He was doubled up
and kneeling, his head on the pillow hiding his face, and his
bare buttocks thrust indecently in the air. The cool air he felt
on his naked backside contrasted with the hot blush of shame on
his cheeks.
Nurse Collins said, "Now girls, you've already learned
the basic techniques of administering enemas, but as you know
the enema can cause surprising side effects in males. Certain
special patients will require additional care, and from what we
know of Peter's personal habits, I expect that he may provide a
demonstration of the full range of enema response."
Peter cringed at her obvious reference to his practice
of masturbation, but could not guess at what connection it had
to the unpleasant process about to begin.
"You'll notice how Peter keeps his thighs pressed
tightly together? A young man with his habits is usually shy
about exposing his male organs, especially when there are
several nurses in attendance. But we must have his thighs
separated for proper insertion, so please spread him, Lisa." The
student nurse took his thighs in her hands and gently but firmly
pried them apart. Peter now felt utterly naked, with not only
his bare backside but his very maleness fully displayed in this
most undignified posture.
Nurse Collins began instructing, "Now we must choose the
proper enema nozzle. For a healthy young man like Peter, I
recommend this large, long model to provide the maximum degree
of penetration." Alice connected the nozzle to the bag and
lubricated its length with KY jelly. Lisa completed preparations
by gooping KY on the tip of her rubber-gloved forefinger and
carefully applying it to the vestibule of his rear gateway. His
bottom wriggled as she spread it in delicate, tickling circles
around the rim of his anus.
Nurse Collins said, "Very good, girls. Peter, we're
ready to give you your enema, now. You may feel some discomfort
at first, as the instrument is inserted. Try not to fight it.
Try to relax and accept the instrument within you. It will be
easier for you if you do. Nurses, you may proceed."
Lisa placed her thumbs alongside the cleavage of his
buttocks, and gently spread them apart. Alice guided the tip of
the nozzle to his anus and pressed it against the opening. At
first Peter could not help resisting, his rear gate straining to
shut out the invader. But Alice inexorably increased the
pressure of her assault, and at last broke through. Peter gasped
as several inches of the hard plastic probe slid up his bowels.
"There, there, Peter. You're doing fine," Nurse Collins
said. "Start the water now, girls, at medium flow." Alice
twisted open a small valve, and Peter felt an indescribable
sensation. The warm water flooded into his body, stretching him
painfully at first. But as the liquid invasion penetrated more
deeply, surging hotly within his bowels, he began to feel a
second sensation: a fullness, a completeness he had never known.
The water filled and swelled his very core, and he let out a
long, loud, involuntary moan.
"Uhhnnn..."
Nurse Collins patted his head tenderly, and said,
"That's it, Peter, yield to it. Accept it deep within you.
There's nothing you can do to stop the water now, so don't try
to resist. Just let it flow into you. Can you feel the water,
Peter?"
"Yes ... Uhhnnnn ... " he groaned loudly.
Lisa was genuinely concerned at his reaction. "We're not
hurting him, are we, Nurse Collins?"
"No, Lisa, don't worry. The sensations of an enema are
powerful, and sometimes uncomfortable, but not painful if the
patient learns to relax and open himself. As I've told you, some
males even experience physical gratification during the process."
"I'll say!" Alice cried. "Look-- he's gotten all stiff!"
She pointed, and Peter became suddenly aware of the rigid
erection springing between his thighs. He squatted lower on the
bed, pressing his groin against the sheets and trying to hide
his penis beneath him.
"Is that OK, Nurse Collins, for him to get stiff like
that?" Alice asked doubtfully. "I mean, it seems kind of weird
or something."
The older woman smiled, "Oh yes, it is quite common for
male patients to develop an erection during enema delivery. You
will see it often, so you must learn how to deal with it."
Alice volunteered, "Should I slap his testicles? The
Nurse's Handbook says that always makes patients lose their
erections."
"Well, that is certainly one way to deal with it," Nurse
Collins said. "Some nurses do believe in strictly suppressing a
patient's sexual arousal during enema delivery."
Peter cried out, "Please, Nurse Collins, I didn't mean
to get an erection. I'm sorry, I couldn't help it. Please don't
let her..."
Nurse Collins soothed, "There, there, of course you
couldn't. Don't worry, Peter, no one will hurt you. No, Alice,
in patient-centered care, we must be sensitive to a patient's
feelings. His erection is an involuntary reaction, and we
shouldn't punish him for it."
Lisa asked, "Is it because he jerks off so much, that he
gets like that?"
"No, Lisa. A frequent masturbator does present special
concerns, as we shall see, but even normal young men without
Peter's private habit may erect during an enema. They can't help
it, really, the poor dears. There's something about having his
bottom stuck up naked in front of a nurse, and feeling the nice
warm water pressing on his insides that makes a man become
sexually aroused.
"Usually you can just ignore his erection, and it will
go down by itself after the enema is over. Most men find it
quite embarrassing to erect for a nurse during an enema and
prefer that you don't draw attention to it. But you have to be
careful that the penis doesn't get cramped beneath him, or that
he doesn't start unconsciously rubbing it against the bedclothes
and chafe it. Here's what I usually like to do to protect it."
She took the tube of KY Jelly and spread it generously
on her right hand. Then sitting on the bed beside him, she
reached between his legs up under his belly and gently enclosed
his penis with her lubricated hand, cupping it safely beneath
him. Peter jumped at the unexpected but delicious contact. "Just
relax, Peter, we're going to hold your member for the remainder
of the enema, to keep it safe. Doesn't it feel nice in my hand?"
"...y...yes, Nurse Collins" he said in confused delight.
Continuing the demonstration, she informed her students,
"More excitable patients may exhibit expressions of sexual
arousal other than erections during an enema. This is especially
common for habitual masturbators, so you may see it today."
At the older nurse's nod, Alice checked the valve on the
enema bag, and opened it another turn. As the warm water swelled
and surged within him more insistently, Peter's groans became
louder and more frequent, until he was emitting an almost
constant stream of moans. Lisa and Alice listened to him,
giggling to each other at his inarticulate groans. He was deeply
humiliated to offer such ludicrous amusement to the nurses, but
the sensuality of the experience overwhelmed him.
Lisa giggled, "He's really doing some moaning and
groaning now! He sounds just like a woman when she's getting a
real good 'you-know-what'."
Nurse Collins agreed, "Yes, that's quite right, Lisa.
Receiving an enema is the closest a man can come to the
sensations a woman experiences during sexual intercourse. Some
men turn into real 'moaners' when you turn the water on. They
may be deeply embarrassed by their response, even though they
can't help it, so it's a good idea to reassure them."
Lisa leaned forward and brushed his cheek tenderly. "You
sure are a 'moaner', aren't you, Peter. Do you like this? Do you
like a nurse to pump your bottom full of nice warm water? Go on,
Peter, tell us how it feels." He could only smile up weakly at
her, and moan softly in response.
Nurse Collins explained, "And actually, girls, a nurse
can use the patient's sexual arousal to therapeutic advantage.
It is beneficial during the enema if the patient moves his hips
slowly up and down. It helps to distribute the water within the
bowels and promote thorough irrigation. A patient in Peter's
state can be easily persuaded to execute these movements."
She put her free hand on Peter's hips and urged his
buttocks slightly higher. Her other hand drew his turgid member
back between his legs, until it pointed straight down at the bed.
"Now Peter, I want you to raise and lower your hips for
me, to help spread the water around inside. I'll just hold your
penis, to be sure that it doesn't chafe against the bed. Begin
moving now, up and down, up and down, that's it."
Peter obeyed her instructions, and found to his surprise
that her hand on his penis did not follow the movements of his
hips, but remained stationary on the bed beneath him. Her curled
fist made a snug tunnel, and with each thrust of his hips his
stiff member slid in and out of her slippery fingers. Her
knowing grip was neither too tight or too loose, and Peter soon
forgot the original therapeutic purpose of his movements as
sweet sensations overwhelmed him. He even forgot the amusing
spectacle he presented to the nurses, wagging his naked bottom
up and down as he pumped his rigid penis between Nurse Collin's
fingers.
As Peter's mounting sexual abandon became more obvious,
Alice said, "Nurse Collins, look what he's doing in your hand!
He really looks funny, doesn't he? Is that all right, if he does
that?"
She explained, "Yes, Alice, Peter can't help it. I think
that this is the best way to deal with persistent erection
problems during enemas. His sexual arousal does no real harm,
and as you can see, it encourages him to move his hips very
effectively."
Lisa asked, "What if a patient wants to, you know,
finish off? Is it OK to let him?"
Nurse Collins advised, "It is entirely up to the nurse.
Ejaculation serves no therapeutic purpose, so there is no need
to permit it. Some nurses feel that allowing a patient to
express his semen during an enema is unprofessional and
undermines the nurse-patient relationship. But I usually take
the patient's comfort into account. A male develops strong
prostate tension during an enema and appreciates the opportunity
to release it. I believe that ejaculations have a place in
patient-centered care."
She leaned down close to his ear. "Peter, can you hear
me?" He mumbled something through the haze of his ecstasy.
"We're going to introduce the remainder of the water now. You
may feel some unusual sensations when this occurs. There will be
a strong pressure on your prostate gland, and you may not be
able to retain your semen. Try to hold your semen in as long as
you can, but if you have to release it, just let it go in my
hand. It will be all right."
Alice turned the valve fully open, and suddenly Peter
felt the pressure within his bowels double, and the tension in
his genitals threatened to explode. He began thrusting faster
and faster in Nurse Collins' hand, and cried out, "Oh, Nurse! Oh
Nurse! I can't help it... I'm... I'm going to..."
"Yes, Peter, I know. Let it out now, let go in my hand,
that's right."
Lisa stroked his face and reassured him, "Go on, Peter.
It's all right. We all know you have to. Just let it go."
Peter smiled gratefully at Lisa and yielded at last to
the pressure in his organs. Still thrusting, he flooded Nurse
Collins hand with his semen, feeling her lubricated fingers grow
yet more slippery with his own spending. Lisa patted his naked
bottom and encouraged him, "There, there, Peter, don't hold
back, let it all come out."
But as soon as the pressure of his ejaculation eased,
the sense of the other pressure in his bowels reasserted itself
with intensity until he cried out in agony, "Please, no more, no
more water!"
"Remove the nozzle, now, girls. Peter will need to have
his movement." All at once he was free of the enema tube. He
sprang from the bed and ran to the toilet, not taking time even
to close the door. The women laughed as they watched him
evacuate noisily.
--
Pursuant to the Berne Convention, this work is copyright with all rights
reserved by its author unless explicitly indicated.
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