Positioning and male catheterization

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    Anyone had any experience with positioning a male patient other than lying on his back to place a urinary catheter? I was wondering if any other positioning would redistribute internal organs that may be putting pressure on the prostate and thereby minimize internal stricture of the urethra. Had a difficult placement last night and was brainstorming about ways to make passing by that prostate-especially if a little enlarged-easier on my patients. (We don't have Coudes and the couple of times I used them I didn't find a significant difference). I use lots of lubricant, go slowly and have them do breathing excercises but it occurred to me perhaps positioning might make a difference.
    I've seen the side-lying position used in females but that was primarily for comfort in holding the position.
    Experiences/ opinions please?
  2. 6 Comments so far...

  3. 1
    if i don't get a return, sometimes i put the hob up, allowing urine to drain by gravity...

    and push fluids, if i KNOW there's no obstxn, and pt is able. (above/beyond iv's)

    leslie
    Chaya likes this.
  4. 1
    I've never seen any position used other than supine. Would be interested to hear some other ideas!
    Chaya likes this.
  5. 1
    sometimes twirling the cath. as you are inserting sometimes works. Using a coude helps a lot.
    Chaya likes this.
  6. 1
    I have found that holding the entire scrotum with non sterile hand sometimes help. There have been times when a second person is necessary to lift and manipulate the scrotum as they feel the cath. move.

    I have never tried another position.
    Chaya likes this.
  7. 0
    Had a supervisor { ICU nurse } who put a foley in the freezer just long enough that it was slightly firm [ no pun intended ]. Also saw her do it with Coude as well. Both times made it easy to get past enlarged prostate.
  8. 0
    Quote from husker_rn
    Had a supervisor { ICU nurse } who put a foley in the freezer just long enough that it was slightly firm [ no pun intended ]. Also saw her do it with Coude as well. Both times made it easy to get past enlarged prostate.
    Yeow!!


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