Tales from the Tail — Non-Invasive Hole Tightening? Sign me up!
Client’s Tale
Some have said I am up to “big things”. Boy, if only they knew. 😉 The reality is, I have always been able to receive rather large objects — toys, cocks, and fists — without a problem. Many of friends have had anal issues and/or simply cannot fully and truly relax, unable to completely take a big ding-dong. Not me, though. My bestie seems to think I came out of the womb destined to be a power bottom.
I identified as a gay male super early in life — around 12 or 13 years old — and, thankfully, was born into an accepting family in an accepting urban location — Miami, Florida. Mentally, I always identified as a bottom and as soon as I could, I started practicing. Now, at 29, I have had my fair share of sexual escapades, including all the cummings of sex and group parties. Who doesn’t just love their hole and want to use it as much as possible? 🤷♂️🙋♂️
Butt there’s always a but. Especially in these tales… Recently, I have noticed a significant change for both me and my partners. Let me explain. I have always been able to cum with my tops inside me — always. Both the prostate stimulation and the warm throbbing cock sliding along my insides send me to the roof (not to mention: I have so much ejaculate, it’s nuts — literally). However, over the past months to a year, I’ve found myself having more and more difficulty keeping hard for too long. It’s gotten so bad that I can’t even keep hard, let alone cum, with someone inside me. The stimulation just doesn’t do anything. And during the past 3–4 bottoming sessions, my partners have — though they didn’t directly tell me — had some difficulty getting off as well. Things had to get real rough for it to be successful for them.
With that said, my hole is my life and I have always been totally in charge of its use. These new limitations got me worried and I decided to seek help early in its course. I Googled around and spoke to friends who all recommended Dr. Goldstein at Bespoke Surgical. It’s crazy to think, but it seems like he’s the only one truly dedicated to serving our community.
Anyhow, I made an appointment up in NYC. And wow. What an amazing conversation. Zero stigma. Zero judgement. Right away, we found a plan of action, which developed after not only listening to my complete sexual history, but also performing a full anal exam. Even though he uses much nicer terminology, I was told I was “loose”. Loose as a fucking goose. No joke.
What did I do next?
Actually, I make it out to be pretty bad, but as per my medical and surgical options, it didn’t need a full surgical procedure. Phew! He first sent me to a urologist, making sure it wasn’t due to erectile dysfunction issues. Everything checked out A-OK.
We then decided to do a test called an anal manometry, which is done in the office by both an amazing technician and Physical Therapist, Steven Lavender. It was super easy with so much data on the actual anal pressures that we are starting with. It did show some laxity in these regions. I was given some at-home exercises, like using toys and pelvic floor contractions, in addition to once a week in-office pelvic floor therapy. What’s even better is that Dr. Goldstein’s office has just purchased an Emsella device that has the capacity to deliver 20,000 kegel exercises in just 28 minutes. From the description, it seems like a game-changer for all of us.
I’m lucky because I just found out I’m moving to NYC for a job and I’ll be able to start these Emsella treatments in a few weeks. The protocol is that throughout 6 sessions, we re-measure the pressures throughout my ass. I’m beyond excited to be proactively improving my ass in a non-surgical, non-invasive manner.
Watch out — there’s a new boy in town. I’ve heard it’s a town of bottoms, but stand back, boys. Or should I say, stand behind and inside me, boys. 😂
My Discussion
I see many clients who have some element of either diminished sensations anally — both for them and/or their partner(s) — and/or some form of increased elasticity. I am not a fan of the term “looseness”, as it creates a significant stigma for our community and the overall goal is for all of us to have fruitful and positive engagements, no?
Another potential category of patients are those who are super anally health conscious, looking at preventative ways to make sure they stay in tip-top bottoming shape, year after year, cock after cock. To these boys — I applaud you, and I am seeing more and more of you through the world of social media. We have been working so hard to reach each and every corner of the earth as it relates to these extremely important topics for our community. Both you and I have been demanding it and, quite frankly, it’s about fucking time.
OK. Back to the hole… I am happy to say that now with my partnership with BTL Emsella®, we have a major new-cummer, specifically as it relates to a non-invasive anal and pelvic floor approach. Week after week, I see clients that do not meet criteria for surgical intervention, but do indeed have some element of laxity. It’s a real thing and no one should poo-poo your reality (no pun intended). This amazing technology can not only be a treatment for this common ailment, but also it can be used to prevent the inevitable — laxity. Listen — we all need to be honest. Over time, skin and muscle both stretch. It’s common and no matter how many squats or kegels you do, it’s only a matter of time before it catches up to you… Until now.
What better way for us to create electromagnetic stimulation of the pelvic floor musculature for the purpose of rehabilitation of weak pelvic muscles and restoration of neuromuscular control. A 28-minute session, twice a week, for three weeks. You can truly feel improvement after the first session and then it builds from there. We monitor the muscle capacity prior, during, and after the treatments, giving us real-time data on its successes. I am super excited to finally roll this out. And more so to be their exclusive anal surgeon, specifically focusing on the gay space and its improvements as it relates to sexual wellness.
Now, this is not for everyone. We need to see you for a full evaluation beforehand and then determine if you are an appropriate candidate. My clients who already have assholes that are too tight to begin with are clearly not ideal candidates. Sorry, boys. Keep checking in as we get you further along in your bottoming career.
First off (and a real must), it’s for bottoms who can receive and receive well. From there, we can determine the level of elasticity, highlighting an appropriate protocol to provide the desired results.
The questions I ask are: is someone wanting to use the machine for yearly maintenance and preventative measures or do they have a full-blown hole that needs definitive measures to correct? All of this makes a huge difference in our management. We have so much potential here and I cannot wait to start supporting our community with new and novel techniques. All of the data currently comes from urinary and fecal incontinence, with the findings being overwhelmingly positive. We have lots of work to do to define these specific protocols and algorithms and we are asking for some volunteers to spearhead this process.
As I tell all of my clients, this field of medicine we are pioneering is a collaborative approach, with a give and take mentality. We, as a community, have a duty to continue forward progress to reach our goals. Sexual wellness and inclusivity are god-given rights. And if we don’t grab hold and make it happen, it ain’t ever gonna be accepted. We must continue to empower the bottom and who better to continue the pursuit of longevity than you? Oh yeah, and me!
Don’t forget to stay in touch on Instagram: me and Bespoke Surgical.
