Hmmm fetish.
Enemas involving different mixtures and levels of discomfort. From ice cold water, M&Ms, lemon juice, glycerine and my favourite wine.(given my wife a few but she gets to like them because they make her feel comfortable......where's the fun in that

)
Dabbled with medical play. Inserted a catheter a few times.
Like to wear a pair of womens knickers during all this and sometimes rubber pants.
Even tried some self bondage with enema and self scat/piss and drink my own (drank the wifes a few times).
Its all self humiliation and only happens if I get some free time to myself as it usually takes up a day. Which is about six times a year. After the event I usually forget about it for a couple of months.
Everything else I would describe as a normal part of play......vibes, strapons, beads.
Of course Shemale.......not simple TS, they must look like women and have proper working equipment. The Shemale I talked to was quite happy to keep the 8" cock and huge balls, but in every other way she was totally feminine.