Some prisons have offered the use of a "dry cell"—i.e., a cell with no toilet facilities, but only a container for the prisoners waste—as an accommodation to inmates who are hindered by paruresis from providing an observed urine sample.FBOP Program Statement 6060.08 states, "Ordinarily, an inmate is expected to provide a urine sample within two hours of the request, but the Captain (or Lieutenant) may extend the time if warranted by specific situations (for example, the inmate has a documented medical or psychological problem, is dehydrated, etc.). Staff may consider supervising indirectly an inmate who claims to be willing but unable to provide a urine sample under direct visual supervision. For example, this might be accomplished by allowing the inmate to provide the sample in a secure, dry room after a thorough search has been made of both the inmate and the room." At least six state prison systems—Florida, Massachusetts, Maryland, Michigan, New York and Tennessee—have modified their drug testing regulations to provide accommodations for prisoners with paruresis.Per the Handbook of Correctional Mental Health, "No definitive or objective test is available to confirm or refute the presence of paruresis. The absence of prior treatment or the ability to void in some social situations but not in others does not rule it out. Although modalities associated with the treatment of social phobias help some individuals, no universally effective medication or other treatment exists. Coercive interventions, such as forcing fluids while observing a person with paruresis, are ineffective and can cause serious medical complications.
Alternatives to observed urine specimen collection for individuals who self-report paruresis include unobserved collections in a dry room, testing of hair specimens, sweat testing with a patch, and blood testing (Test for Drugs of Abuse 2002). These alternatives preclude the need for futile attempts to differentiate inmates with true paruresis from those who fabricate complaints." Popular culture
The condition has been occasionally portrayed in popular culture, sometimes for comedic effect or parody. Examples of this include:

In the 2005 comedy Waiting..., a nerdy character with paruresis is one of many bathroom jokes. In 2015, the International Paruresis Association protested a DirecTV ad starring Rob Lowe that portrayed a paruretic as goofy, wearing a fanny pack, and having his hair parted in the middle. In the American sitcom The Big Bang Theory the character Penny is revealed to suffer from bladder shyness. See also
The Sound Princess

References
External links
International Paruresis Association
United Kingdom Paruresis Trust (UKPT)