Ginny’s Incontinence Procedure — Part 1

The following story contains adult content and is intended only for adult readers over the age of 18. Any characters depicted in adult situations are over the age of 18. This story is entirely fictional and has been written and shared for entertainment purposes only.

Her name was Ginny. Little Ginny MacIntosh, as I liked to call her.

She came to us through our free clinic.

Have Incontinence Issues? Signing up women between the ages of 18-24 for free, total continence restoration, the flier said at the front desk of the women’s health clinic.

She was the perfect candidate. Living alone in a new city. Not wealthy or well-resourced. And just the right amount of medication-resistant, worsening urge-incontinence and nocturnal enuresis (bed-wetting) to seek a somewhat invasive treatment.

Oh, and not to mention the fact… that she was downright gorgeous. Not that it was ethical for me, as her soon-to-be-doctor, to be taking such things into account.

But then again, who was I kidding. There was nothing ethical about what I was about to do. I was about to systematically turn this gorgeous young woman’s desire for better continence into the absolute lack thereof. I was going to do it to satisfy my most corrupt sexual-romantic fantasies.

And the best part of all? Because I was a straight woman (or at least, that’s what everyone around me, besides my closest confidants and accomplices, had been led to believe), no one would suspect a thing.

After Ginny signed up for the procedure, she was thrilled to discover she was lucky enough to be receiving the zero-cost continence ‘restoration’ procedure from one of the best doctors in the state—Dr. Mallory Parker. Or, as I would introduce myself to her, Dr. Mallory.

But of course, in reality, the procedure would turn out to be the furthest thing from ‘zero-cost’ imaginable. In the end, the procedure would cost the young woman the very thing she held most dear in the world—the dignity of her very adulthood.

And I, on the other hand, would be compensated with the most precious gift I could ever dream of.

My very own, adult little diaper girl.

That is, if all went according to plan…

* * *

The day of Ginny’s surgery arrived, and I couldn’t have been more excited.

Ginny was laid out on the operating table, anesthetized without issue, leaving me to get to work. The nurses around me knew better than to question anything I did, and would support whatever orders I gave. Now, it was time for me to play.

First up, was the urinary system.

We told her we would be installing a temporary stent inside her bladder. It’s purpose, we told her, was to help increase her bladder control. It would, we explained, allow her to build her continence back up stronger with the help of the stent, until it was removed.

Of course, the bladder portion of the procedure I was about to perform would do quite the opposite.

As I gently plied open Ginny’s magnificently beautiful, exposed pussy, and inserted the specially-prepared urethral stent, I admired how the device was a similar work of beauty.

The UroDynamic 2700 Silicone Urethral Stent. Its design was highly specialized, a product of my own long, hard hours of ‘extra-curricular’ research.

First, the silicone tube would pass through Ginny’s upper urinary sphincter. The one atop the neck of her bladder, connected right to the bladder itself.

As I pushed the stent in further, I felt the gentle resistance of her bladder’s internal sphincter, then gently pushed past it as it opened up.

I couldn’t help but giggle as her bladder suddenly released a small pool of golden urine, down through the tube, and into a puddle on the absorbent pad between her legs.

The nurse next to me quickly wiped up the small mess. But I couldn’t help but feel giddy inside, knowing soon, Ginny would be responsible for many more involuntary releases. But almost assuredly into thick, babyish diapers, when the time for her to be forced to wear them finally arrived.

The way the special urethral stent worked, is that while it was seated past the patient’s internal bladder sphincter, keeping it open, it also extended down the relatively short bladder neck, expanding the size of the bladder neck significantly, substantially increasing the bladder’s general downward pressure.

However, the stent ended before the external urethral sphincter, allowing the patient to open and close their external, outermost sphincter normally.

This design allowed the patient to maintain her urinary continence—even when the stent was completely open, holding her internal bladder sphincter completely agape—because the patient still had free use to close her external bladder sphincter.

Or at least… it allowed the patient the opportunity to try to maintain their continence.

Because the secret truth was that preventing accidental urination becomes exceedingly more difficult for anyone forced to rely only on their weaker, external bladder sphincter to keep from peeing.

But my dear, dear, Ginny wouldn’t know that controlling her bladder had become objectively more difficult. She would think that the stent was only there to help her.

Of course, with my precious patient helplessly unconscious before me, totally subject to my surgical powers, I could, if I desired, simply surgically remove the sphincter to her bladder completely with one fell swoop. She would immediately be rendered permanently incontinent.

But where was the artistry in that?

No, then the source of her incontinence would be obvious. Regardless of the obvious greater liabilities of such a straightforward medically induced impairment, such a direct approach would negate the most critical element of the patient’s soon-to-be induced incontinence…

She wouldn’t blame herself.

One of the most important elements I’ve learned from my experiments in this arena thus far, is that it’s the illusion of control that’s so critical for a patient undergoing involuntary continence removal.

It allows the patient to perceive their gradually worsening incontinence as a product of their infantile potty failures, rather than the medically induced sabotage that it was…

Which was essential to a patient like Ginnys long-term diaper-dependence and greater psychological regression.

The stent’s design was elegant in another way, as well.

By only keeping open the internal bladder sphincter, but not the external bladder sphincter, it in no way increased the patient’s likelihood of contracting a UTI.

You see, with a normal catheter that keeps both bladder sphincters open, a patient must be highly vigilant about exposing their bladder to bacteria, as the urethral sphincters are forced to remain open, when their ability to close is normally what prevents bacteria from entering the bladder.

For a patient with a catheter, this typically means the end of their catheter must always be secured into a sealed, suitable drainage vessel. And most unfortunately, makes wearing diapers incompatible with safely using such a device.

However, the urethral stent I was inserting into Ginny now, exposed the patient to no such risks. It substantially removed the patient’s continence, but in a way that allowed the patient to still close their weakened external urinary sphincter, preventing possible UTI risks.

In a word, it made the urinary ‘issues’ Ginny would soon develop almost perfectly suited for diapers. Which was essential to satisfying the… unique objectives… I had for my darling sleeping patient.

* * *

But even with just the ability to keep the patient’s internal bladder sphincter open… the special urethral stent I was now carefully adjusting inside my beautiful, unconscious patient was even more dynamic than that.

See, the specially modified UroDynamic 2700 Silicone Urethral Stent I helped design didn’t just hold the patient’s internal sphincter open all the time. No. It was more impressive than that. More effective than that. The stent was designed with a special dynamic door that hardly just stayed wide open.

… At least not at first.

You see, in the beginning, when the patient wakes up with their new device installed, they will experience better continence.

That’s because the dynamic door on the stent will offer much more sturdy strength for the patient trying to keep their bladder from leaking.

The dynamic opening in the stent will stay closed, until it detects enough pressure from the bladder to warrant opening, allowing the patient to pee normally, and with much more confidence that they won’t be having an accident unless they’re sitting on the toilet and really trying to go.

At least… that’s how things will go at first.

Because you see, the ingenious design of the stent, is that the artificial urethral ‘door’ to the bladder is designed to start gradually becoming mechanically weaker.

And gradually more inconsistent.

Even… erratic.

The thing is, a patient like Ginny, with urge or overflow incontinence, will have started to get at least somewhat ‘used to’ some of the patterns of their accidents.

They will start to sense when their bladder is becoming full to the ‘danger’ point. That is, when they might expect that, upon getting up, they might have a small leak into their incontinence pad.

Embarrassing, absolutely. But somewhat predictable, and fixed with a quick run to the toilet to switch out the pad they placed in their underwear to catch the small leaks they’ve come to suspect will spring here and there.

However, with the brand new stent, their incontinence will take on a more… unpredictable route.

You see, unlike her biological bladder sphincter, the new bladder sphincter I was giving Ginny now, in the form of the special stent, won’t follow the same predictable rules. That is, instead of only losing its grip a small amount, then regaining that grip, resulting in a small, quick leak…

The design of Ginny’s new, artificial stent will perform what I liked to call, ‘a full flood pattern’.

That is, when the door to her new urethral sphincter gives way, it will stay open until her bladder is totally, totally empty…

Which means that instead of having the frequent, small leaks she would be capable of hiding from those around her…

When she has an accident now, it will result in her absolutely drenching her pants as she completely empties her bladder.

Making the normally discrete ‘pads’ she might be used to using, totally useless. And the only safe alternative… diapers. The thickest money can buy.

Of course, when the patient is beset upon by these less frequent, but massively more disastrous and humiliating bladder accidents, we will reassure them that the occasional wetting accident is still just part of the procedure’s healing process.

And that will satisfy them. For the time being. Until, of course, its far too late to reverse the procedure’s permanent impact on their continence, anyway…

Because it was still true what we told Ginny before the procedure. The medical devices I was inserting were still designed to be temporary. And we would indeed remove them, when the time was right.

Why? Because after the patient had worn them for long enough, their effects on their continence will have taken permanent hold, regardless of whether or not they are removed.

The devices were designed to inflict acute short term loss of continence, absolutely.

But the longer the implants stayed in, the more lasting impact they had on permanently re-shaping the patient’s delicate internal sphincter muscles.

And once the implants were removed, the way they had re-wired the patient’s sensitive urgency and continence nerves would stay with the patient for the long-term.

That’s not to say, of course, that these muscular changes were inherently permanent.

But the truth of the matter was, once the patient had accepted total defeat in regards to their lack of continence from long-term adjustment to their continence implants, they will almost inevitably be too demoralized to ever even consider the possibility of taking on a rigorous potty-training course again, which would be their only chance at ever successfully re-training their severely weakened and laxened potty muscles.

Simply put, it was a key illustration of one of the most important things I had learned thus far in my research, which was that the process of inflicting involuntary incontinence was always just as much a psychological one, as it was a physiological one.

* * *

I smirked with satisfaction as I finished perfectly seating the custom, hi-tech incontinence-training stent up inside Ginny’s urethra.

Then, I attached a special, additional tube to the end of the stent, to initiate what might have been the most cruel aspect of the special stent device… and the one I was secretly most proud of.

I squeezed the rubber bulb next to me, and watched through the ultrasound monitor as the special balloon now inside Ginny’s bladder started to inflate.

You see, the incontinence stent I had inserted up Ginny’s urethra also included a balloon just past her bladder sphincter, inside the bladder itself.

This was in line with what most standard indwelling urinary catheters had. And like most indwelling catheters, the purpose of this balloon was to keep the stent from slipping out of place, or being either accidentally (or even purposefully) removed by the patient.

However, the balloon for this specially adapted incontinence stent had a far more… devious… design than what was typical.

You see, the balloon on a standard urinary catheter was relatively small. It was designed to cause the patient as little discomfort as possible.

Whereas the balloon for Ginny’s new indwelling stent… was designed for precisely the opposite effect.

I cracked a devious smirk as I watched the balloon on the ultrasound inflate to the very walls of the young woman’s bladder.

See, this balloon was deliberately designed to be big enough to reduce the effective capacity of the patient’s bladder. Substantially.

When Ginny woke up, she would probably have no idea there was even a balloon inside her bladder. That it was part of her new stent. (After all, it’s only standard practice for doctors to skip over all the over-specific nitty-gritty details like that that would leave a patient bored or overwhelmed when explaining a procedure. Why should we be any different?)

But from now on, despite her almost certainly not being consciously aware of it, her bladder would have half the capacity that it did before.

That meant that by itself, the balloon immediately induced increased bladder urgency and decreased bladder capacity for the subject. Making their bathroom trips more urgent, more frequent, and inherently far more likely to result in accidents.

However, that was hardly even the most sinister aspect of the expanding balloon I was now admiring via ultrasound inside my patient’s bladder.

You see, a large balloon’s physical presence inside the bladder drastically increased urgency far more than just reducing the bladder’s total volume.

By adding the pressure of a physical object pushing up against the bladder’s walls, the patient is struck with much more frequent, much more violent urges to ‘go’ than if the bladder was simply filled with urine as usual. It was simply the reality of the bladder experiencing the harsh presence of something solid, where it had only felt liquid before.

And perhaps even more significant, the presence of the large object in the bladder frequently deprived the patient of ever feeling that their bladder was ever really ‘fully empty’—a deliciously maddening experience for the unknowing subject, that further slowly robs them of their bladder autonomy, and mires up the normal ‘potty signals’ that a healthy person relies on to go in the potty instead of their pants.

But this particular balloon of my design was even more sinister than all of that.

For the shape it was now taking as it was inflated wasn’t a nice, round sphere, which would be the least obtrusive, long-term large balloon to have in one’s bladder. After all, a sphere would most naturally fit the bladder’s natural shape.

No, instead, this balloon was specially designed to be oblong, misshapen, asymmetrical, and haphazardly pointed upon inflation.

With elongated, non-symmetrical ovoid shapes protruding inconsistently from the center, almost like a half-eaten starfruit with rounded spikes, the balloon was designed to never ‘sit quite right’ in the patient’s bladder.

This meant that for Ginny, her sense of bladder urgency would now become far more unpredictable. When the balloon object adjusted itself one way upon her sitting down, she would be struck with a sudden and extreme need to void, signaled by the walls of her bladder suddenly feeling unexpected pressure.

But then, upon racing off to the toilet, in the process, the balloon would turn and settle itself more comfortably, causing her sense of urgency to suddenly and unexpectedly evaporate. And she would find herself unable to pee, after all.

Before long, the incontinence patient with the specialized bladder balloon will begin to mistrust and even doggedly ignore their bladder’s urgency signals, no matter how much it feels like they have to go.

After all, they hardly have a choice, unless they want to do nothing but fruitlessly run to the toilet every five minutes of the day!

The process results in the patient unconsciously training themselves to ignore their bladder’s sense of fullness, gradually desensitizing themselves to any and all bladder urgency, and once again, inadvertently, slowly robbing themselves of the most critical tool for continence of all—knowing when one needs to go!

One was hard pressed to find a single continent patient after enough time had passed with them being subjected to the secret cruelty of my specially crafted distorted bladder balloon.

All the patients I had tested the device out on so far all ended up with bladders so distended and permanently deprived of sensation and elasticity, all of them to a one had been transitioned to a permanent 24/7 urinary catheter in its wake.

However, the thing was, so far in my devious research, my test subjects with the balloon had been confined almost exclusively to the elderly. Those whose toileting skills were likely already eroded, and who were likely already predisposed to surrender their toilet training, anyway, as indicated by the amount of full diapers one detects upon entering any nursing home.

But now, as I admired the fully inflated bladder balloon inside my darling, adorable, shimmeringly youthful subject, Miss Little Ginny MacIntosh, I felt shivers of excitement at the virgin territory I was paving with my highly illicit, induced incontinence venture.

* * *

I withdrew the tube I had used to inflate the balloon inside her bladder, and allowed Ginny’s urethra to finally close, successfully sealing up the new incontinence stent device inside of her.

I flashed a satisfied smirk as I placed my gloved hand on Ginny’s naked belly and gave her bladder an affectionate rub and squeeze.

Psssssssssssss...

I grinned as I realized that, once again, the unconscious young woman was spraying a small stream of golden liquid out from between her legs and onto the waiting disposable pad.

So far so good! I beamed beneath my surgical mask.

I took a deep breath, rested for a moment. Then announced to my team of surrounding nurses…

“Alright, turn her over. Time for the backside.”

Now that I was satisfied with my work on Ginny’s bladder…

It was now time to pay just as much attention to her rear-end.

The incontinence measures I would be implementing for the young girl’s bowels would inherently be far more gradual in their effect.

… but they would also be drastically more humiliating for the girl on every possible level.

And I knew in the long-term, it would only be the uniquely infantile helplessness and humiliation of bowel incontinence that would lead the girl into a state of true diaper dependence…

And ultimately, if all went to plan, right into my arms.

TO BE CONTINUED…

IN PART II