Risk Control

In the context of toy play, risks are play activities that can damage the fist chute or lead to death. For example, severity of the injury can be minor, such as micro-tearing around the first hole, or fatal, such as perforation. Risk management is defined as taking action to reduce the likelihood or impact of a risk. A risk management plan involves several key components, including:

  • Risk Profile Development | Risk tolerance is assessed and specified in order to develop relevant abatement strategies.
  • Risk Assessment | Risk identification and analysis are the two primary components of a risk assessment. The assessment lists all potential risks with a probability and severity analysis.
  • Risk Mitigation | Proactive and reactive actions are identified that can prevent the risk from occurring or decrease impact should the risk materialize.

Profile

A risk profile is a comprehensive assessment that outlines the types and levels of risks you may face, as well as your capacity and willingness to manage associated outcomes.

Risk Profile

A completed profile will help you identify risks, assess their effects on your lifestyle and play, and develop mitigation strategies.

Types

In a toy risk profile, risk types are classified based on harm inflicted on the fist chute.

Levels

Similar to types, your risk profile identifies levels of risk, which are categories of severity. Levels typically exist on a spectrum.

A fister may determine that an injury or accident that results in two or three days down time is not a big deal. Risks associated with this level of severity are placed at the low end of the spectrum with no mitigation plans established.

On the opposite end of the spectrum are incidents that result in surgery or even death. For these risks, detailed mitigation plans are developed and followed.

Tolerance

Tolerance identifies your overall comfort level with (1) risks occurring during play and (2) the severity of harm from said risks. A low tolerance level means you implement all the prevention strategies identified in your management plan. A high risk tolerance means your plan will focus primarily on your response to actualized risks.

Tolerance considers both physical and emotional well being. Many fisters do not account for emotional trauma that ensues when an accident prevents fisting or changes the types of fisting one can enjoy. An identity crisis may occur which can result in extreme distress and depression.

    While toys can enhance pleasure and sexual expression, their use carries potential risks. In addition to physical injury, typical risks from toys include foreign body retention (lost toys), opportunistic and sexually transmitted infections, and exacerbation of existing intestinal issues such as diverticulitis and hemmorhoids.

    Background knowledge of the fist chute and of common ailments can be helpful in decreasing your risks when using toys.

    QUICK REFERENCE

Injuries

Injuries range from minor abrasions to life-threatening perforations and are grouped as follows:

  • Sphincter Trauma | Includes fissures, tears, and muscle damage.
  • Membrane Complications | Incorporates chemical burns, erosion, and tears.
  • Tears and Perforations | Encompasses major accidents that result in hospitalization or heavy antibiotic therapy.
Stoma of Fister
Figure 1.1: External Manifestation of Perforation

Most injuries are internal and cannot be observed by the eye. Perforations typically result in an stoma and ostomy bag.

Sphincter Trauma

Risk: Minor Tearing / Micro Tearing

Manifestation:

Causes: Insufficient lube on toy; Insufficient warm up; Oversized toy use

Mitigation:

  • Use highly lubricious lubes (silicone, oil-based lubes, alphabet lubes [PEO]) in excessive amounts. The toy should be slippery to the touch and easy to drop when handling lubricated portions.
  • Start with a smaller toy that slides gently in with little effort. Once the hole easily takes the warm-up toy(s), switch to a larger, more challenging toys.
  • When introducing a new, wider toy, follow the centimeter (1/2 inch) rule: only increase diameter by a single centimeter at a time—jumps larger than a centimeter will result in tears.

Outline (Proposed)

  • Risk Assessment
  • Toy-related Risks
  • Risk Mitigation
  • Sphincter Trauma
  • Micro tears
  • Fissures
  • Muscle Damage
  • Membrane Complications
  • Erosion
  • Burns
  • Tears
  • Perforation Injuries
  • Foreign Body Retention
  • Infections
  • Disease Exacerbation
  • Best Practices
  • Advice from Experts
  • Horror Stories
  • Provider Communication Strategies

F2 Resources

These individuals have indicated they continue fisting with this condition:

  • Hex Code
  • Hex Code - Condition

Brain Dump - Staging Area

    Perforation/Tears Category (Sphincter Trauma, Colonic Injury, Rectal Perforation, Hemis)
      - Pegging / Pistoning
      - Firmness Tears
      - Double Insertion Tears
      - Hand and Toy Tears
      - Stretch Tears
    Lost Category
      - Baseless Sex Toys
      - Alternative Toys
      - Aggressive Insertion with Bases
    Mucosal Lining Damage Category
      - Burning
      - Extended Plugging
    STI / Opportunistic Infections Category
      - HPV
      - Dual Simultaneous Hole Insertion
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