As a middle aged AB man I have, over the years, made some overtures and attempts to enact my fantasies with others. On three occasions in my mid twenties I actually paid women to 'mother' me, but the experience of being face to face with someone and dressed was actually very stressful. I hated it. In these cases it was my own inhibitions that were the obstacle; the women didn't care at all, as long as the cash was present at the party.
I am now married with three lovely daughters and under no circumstances would I desert four people whom I love, and towards whom I have duties. I've never dared mention to my wife this side of my sexuality, and as of today at least I am sure I never will - not deliberately, anyway. But at the same time the dream of becoming a permanent AB never seems to go away. I know in my heart of hearts that before meeting my wife I would have been happy to relinquish everything that adulthood involves if I had met a Mummy/Mommy - a mythical figure, I think - and I am also aware that if some horrible mischance deprived me of my wife and kids it would occur to me, shortly thereafter, that I could at least seek to make myself incontinent on a permanent basis, whatever else I might look for.
I think it's only here that our fetishes are in any sense dangerous. I think of 24/7 as a black hole. (A description I've seen in forums elsewhere.) I think the same rule applies to them all - BDSM, AB/DL: if they become permanent, then entire personalities are put at risk. If they are part time, holidays, recreations, then they do no damage; the irony is that it's in my own head, and nobody else's, that the danger lies. ... So the very mixed blessing is that we ABs are only potentially a threat to ourselves.