Anyone know a trick, or two, to cathing pts with BPH

  1. I always have problems placing foley caths in older men I wish I knew the secret. Women are no problem for me. Please give me some helpful info if you don't mind.
    Thankx
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  2. 16 Comments

  3. by   renerian
    Try a coude cath.........curved at the end and slips in easy......I always have a hard time cathing men........

    renerian
  4. by   Azure_Skies
    I've tried those too. I think my problem is that I don't like to push against any resistance.
    I'm thinking more along the lines of positioning and such.

    G
  5. by   pebbles
    I was told this by a urologist.

    Always use the largest catheter you can find... a #16 Fr or bigger. I would have thought a smaller one would worm its way past the prostate easier, but it's the other way round. And TONS of lubricant!
  6. by   hoolahan
    Yeah, I was going to say that too, tons of lubricant. You can try putting the cath in the fridge to make it a tad stiffer too.

    The urologists also use xylocaine jelly to lube, wish we had that avaiable on the floors all the time, huh?
  7. by   neneRN
    Coude caths are wonderful! Once you meet resistance, angle the penis toward the pt's head. Also, squirting some lube (lidocaine jelly is even better) directly into the uretha pre cath makes it easier for both you and the pt.
  8. by   Azure_Skies
    Excellent advise from you all I'll get back with you and let you know how it goes for me.
    BTW, how do I add a quote c all my replies?
  9. by   hoolahan
    Go to user cp, one of the little blue buttons on top right of screen. The look in either edit profile, or edit options, you will find the place to do it there.
  10. by   Dazedgiggle
    Ummm.....this may sound strange, but I'd say it works about 50% of the time. Try sitting the patient on the edge of the bed, or even stand him up if he can do it. A nurse once told me this helps the prostate 'drop' a bit and the cath goes in more easily. Like I said, sounds weird, but it's worked for me before when I'd tried everything else!! Good luck!
  11. by   P_RN
    Tell them to cough just as you start to feel resistance. Lots of lubricant and a coude' cath work well.
  12. by   CATHYW
    originally posted by nenern
    coude caths are wonderful! once you meet resistance, angle the penis toward the pt's head. also, squirting some lube (lidocaine jelly is even better) directly into the uretha pre cath makes it easier for both you and the pt.
    this method always worked for me! after i learned it, i never missed.
  13. by   OzNurse69
    Originally posted by hoolahan
    Yeah, I was going to say that too, tons of lubricant. You can try putting the cath in the fridge to make it a tad stiffer too.

    The urologists also use xylocaine jelly to lube, wish we had that avaiable on the floors all the time, huh?
    We use xylocaine jelly to cath all our pts, male and female. What's the rationale for not having it available, is it a cost-cutting thing? I would NEVER allow anyone to stick anything into my urethra without a local anaesthetic, that's just cruel!!
  14. by   babyboomer6
    I have had success with holding the penis straight up and slightly toward the persons head during insertion. Also if a coudee is allowed they are almost always easier. When the prostate is bumped up against with the cath instead of forcing just apply sustained pressure and usually it will go on in in about 30 seconds,good luck.

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