Freaky female anatomy - page 3

I'm starting to get a complex. In recent cath attempts, I keep running into patients who have stuff prolapsed, holes in strange places, and generally not at all textbook anatomy. I confirm with a... Read More

  1. by   OBNURSEHEATHER
    Originally posted by willie2001
    Lidocaine gel can be instilled into the urethra of males to make catheterization less uncomfortable.
    And what do you do for the female patients????? Or is it already less uncomfortable for them?

    Uh huh.

    Heather
  2. by   mark_LD_RN
    it can be done for females also. but was first thought of for use in men because it has a longer trip to make, and paaing by the old prostate you know. never had a cath personally and dont want one either
  3. by   kids
    quote:
    --------------------------------------------------------------------------------
    Originally posted by willie2001
    Lidocaine gel can be instilled into the urethra of males to make catheterization less uncomfortable.
    --------------------------------------------------------------------------------


    Originally posted by OBNURSEHEATHER
    And what do you do for the female patients????? Or is it already less uncomfortable for them?

    Uh huh.

    Heather
    "Nice" Nurses use lidocaine jelly on female patients too
  4. by   New CCU RN
    Had to cath a woman one time while in nsg school.... well there was a small hole up top and a larger hole down below which was literally the size of your fist.....which one would u go for...the top one right? Well I went for that one. No urine. At this point I left it in and went to get some help. Out of desperation, we got sterile again and went for the larger hole below....worse case it was not the right hole right? Well, to our surprise, it was the right one!!!!!
  5. by   LilgirlRN
    Had a female patient a few weeks ago getting the little old lady with a fever work up and we all know that women absolutely cannot do a clean catch and make it clean...I'm rolling my eyes here, we have a doc that is biased and always orders cath UA's on all the elderly women. Went to cath the patient and had to push a tiny penis and scrotum outta the way to get to the functioning stuff!!!
  6. by   anitame
    Wow, Lili, that was not what I was expecting! I haven't run across that one yet!! Bet you were surprised!
  7. by   TheLionessRN
    I got a patient back from a post op vulva removal, which left ZERO landmarks. She was swollen and had stitches in almost every imaginable area. There were holes all over the place, and I think we had the room littered with little the little caths in various sizes that 3 or 4 of us had tried to insert. Including the OB nurse we called up to try for us. The surgeon acted like we were all idiots, of course, but the patient came from PACU without a catheter and we were suddenly expected to insert a foley on this awake patient??

    He ended up coming to the floor to try it himself, and had to take her down to the OB floor for a table with stirrups. He finally got one inserted with a guide wire of some sorts.

    Never have seen anything like it since, and hope I never do.
  8. by   micro
    Give me a man to cath anyday, but I agree with Jon, women do not have the market on the strange anatomy.

    ya da ya da ya da.......

    Q: why did I respond to this thread?
    A: can't resist a good nursing strange anatomy discussion.

    micro
  9. by   SmilingBluEyes
    i am lucky; 99.9% of the time, i cath patients under some form of anesthesia already...and if not, i request i wait to cath til they HAVE it. having had 3 foleys myself, i am sure i would appreciate the same. in an emergency, well, obviously, ya have no choice, but then the cath is the last thing on their minds in a true emergency OB case.
  10. by   jamistlc
    greetings,

    I recall my first female cath out of school for this post is fitting no pun intended! I was working at a LTC for MR clients, part of the admission criteria was that they also a comorbid ailment of a physical deformity. I had an order for a straight cath for a UA C&S. Well I gathered my supplies second night on the job right out of school working on my interim permit (that dayes me). Anyway I go the room with 2 CNA's to help me roll this client on her side, her hips were her physical deformity that was apparent.

    Well in actuality her whole pelvis was deformed it took me about 10 minutes to finally call my supervisor in and ask for help, that was so embarrassing since I thought anatmically I knew where the urethra was and where the vaginal orfice was but I could not get any flow of urine each time I tried to insert it. Anyway it turns out this clients urethra was the size of a typical vaginal orfice and although I thought I knew where it was it was not there at all.

    Whoooo! I was very red faced that night, more so than the client who for her mentality had no idea what I was doing (nor did I) or why, nor that I should have been embarrasssed! I will never forget my amazement as the supervisor put the cath in and got urine. I later told her that I thought it may have been the urethral orfice but it was so large and I did not want to contaminate the catheter as I feared placing it there as I thought it could be her vagina.

    You know I had an instructor who told me that all you do is move the laba lips out of the way and the urethra is right there looking at ya just below the clit well this one was looking at me without moving a thing could have been my easiest cath ever if I had taken the risk of it being the urethra. LMAO:imbar
    Last edit by jamistlc on Sep 27, '02
  11. by   jamistlc
    Originally posted by LilgirlRN
    Had a female patient a few weeks ago getting the little old lady with a fever work up and we all know that women absolutely cannot do a clean catch and make it clean...I'm rolling my eyes here, we have a doc that is biased and always orders cath UA's on all the elderly women. Went to cath the patient and had to push a tiny penis and scrotum outta the way to get to the functioning stuff!!!


    OMG :roll a true herm hum I thought they were only urban legends, LMAO:imbar
    Last edit by jamistlc on Sep 27, '02
  12. by   fab4fan
    Yeah, they do exist...still kinda takes me aback, and I've seen several now.

    We just had a pt a few months ago who had multiple orifices, and it took the doc a couple tries to get her cathed (all that work, just for a straight cath UA that was totally normal).

    And yes, Heather, I thought the same thing...
  13. by   OBNURSEHEATHER
    Jamistlc! Where ya been? Good to see ya!

    Heather

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