The specific inclusion of "Japanese" might reflect a fascination with Japanese culture, which can sometimes be exoticized in Western contexts. This fascination can extend into various aspects of media and fantasy, including anime, manga, and Japanese VHS-style (or "pink film") erotica, which sometimes feature themes of dominance and submission.

For any form of sexual activity, especially those involving bodily fluids, health and hygiene are paramount. Engaging in practices like urophilia comes with risks, including the transmission of diseases.