I am working on a new policy for catheterization in my hospital. We are currently debating whether or not to ROUTINELY use Xylocaine for every catheterization on a male. I cannot find anything definitive in the literature. I know that Xylocaine is often used. I checked with the two tertiary urology wards where the nurses catheterize males quite frequently, including males with prostate disease, who tell me that Xylocaine is not routinely used due to the risk of urethral injury/creation of a false pasage/fistula etc. They tell me that 10 cc of muco in the catheter is as effective and decreases the risk of injury, due to the loss of sensation during catheterization.
Can people tell me what is routine practice and in the policies of your facilities?