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
"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
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
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
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,
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
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
"...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
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
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
"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.