There are many ways people with an interest in omorashi explore and satisfy their fetish. People may leave the house with a full bladder and wet themselves while outdoors, often in a public place. They may keep their clothes on to wet themselves or remove them beforehand, as a type of exhibitionism. They may want to get caught or not, depending on what turns them on.
While most often people exploring omorashi wear ordinary clothes, some people enjoy wearing diapers to satisfy their fetish. These people may have a diaper fetish or simply appreciate that urinating in a diaper is more conspicuous than urinating without one.
People interested in omorashi may view or create omorashi-themed anime art, play erotic video games, known as eroge, or view omorashi challenge videos, which show people with full bladders trying to resist urinating.
Omorashi exploration may also be an element of BDSM relationships. For example, the dominant could control how and when the submissive uses the bathroom.
While most fetish interests concerning bodily waste are viewed as hardcore, omorashi is different because the participants or people desired are usually clothed. Omorashi videos may not include sexual contact either.
For some people, omorashi can go hand-in-hand with clothing fetishes. For example, someone with a fetish for school uniforms may enjoy omorashi material showing schoolgirls wetting themselves.