Outside Japan, it is not usually distinguished from urolagnia , though they are different things: the Handbook of Clinical Sexuality for Mental Health Professionals specifically defines omorashi as persistent sexual arousal toward a full bladder. Paul Fedoroff acknowledges this distinction, observing that "The theme of taking control of autonomic process is prominent in the paraphilia known as omorashi, which involves sexual arousal associated with the sensation of needing to urinate due to a full bladder. The Japanese term "omorashi" means to wet oneself. The word is also occasionally romanized as " omorasi " in the Kunrei-shiki romanization system. In the English speaking BDSM community, the term bathroom use control is used to describe omorashi play in which the dominant controls how and when the submissive is allowed to use the bathroom. Most fetish activities concerning the use of bodily waste are considered by the general public as " hardcore ", taboo , or edgeplay. The focus on clothed rather than overtly sexual images makes garment fetishism a prominent feature in most omorashi erotica: commonly featured outfits include school uniforms , those worn by working professionals , and other people attempting to look dignified before succumbing to the need to urinate.
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