Foley catheters and erections

  1. 0
    On occassion in the OR, when catheterizing a male patient, the pt becomes erect. My nurse manager says we cannot put a foley into an erect penis. All the surgeons and other nurses I work with say to continue with the catheterization and that the erection facilitates the process.

    I am trying to find evidence supporting either one of these statements or both.

    Any ideas?
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  3. 14 Comments so far...

  4. 0
    as what ive known in our lecture,since im still a junior nursing student, it is better to insert the catheter to an unerected.if ever the penis erects,we place cold packs on the base of the penis..
  5. 0
    Question from peanut gallery: Is insertion painful for the patient?

    Sorry for the O/T post.
  6. 0
    The patient is under anesthesia, so don't know if it is painful.

    Can anyone point me to some literature on the subject (for or against)?
  7. 2
    Geez-- just the thought of a Foley would make me lose mine ;-)
    scoacrafter and Spikey9001 like this.
  8. 0
    we dont put foleys in until the pt is out....saves work on us and a LOT on the pt
  9. 0
    In the operating room, we do not put foleys in patients until they are under anesthesia.
  10. 0
    Quote from inspir8tion
    In the operating room, we do not put foleys in patients until they are under anesthesia.
    At 56 y/o, with a touch of BPH, I find that comforting...
  11. 1
    From a clinical medicine video (available only to on-line members) and an article in the New England Journal of Medicine, "Male Urethral Catheterization", Volume 354:e22, Number 21, May 25, 2006:

    Absolute contraindications for male urethral catheterization:
    Confirmed or suspected urethral injury such as a patient with pelvic injury or fracture. Physical findings include blood at the meatus, gross hematuria, perineal hematoma, and a "high-riding" prostate gland.

    Relative contraindications for male urethral catheterization:
    urethral stricture, recent urethral or bladder surgery, and a combative or uncooperative patient.

    None of the above states that penile tumescence is a contraindication. This physiologic response does not cause narrowing of the urethral passage. Remember how we have to hold the penis straight and perpendicular to body's plane to straighten the natural S-shaped curvature of the urethra as it begins from the meatus to the bladder sphincter and ease the catheter's insertion.
    The same concept applies with penile tumescence, this physiologic response straightens the urethral passage and can actually help in facilitating insertion of the catheter. Since the patient is already anesthetized, that is even better as the patient feels no discomfort.
    GadgetRN71 likes this.
  12. 0
    Quote from mvanz9999
    Question from peanut gallery: Is insertion painful for the patient?

    Sorry for the O/T post.
    In the ER, I use lidocaine jelly for insertion.

    In the OR, they wait until the patient is under anesthesia.

    I've never had to insert a foley into an erect penis - and I've inserted alot. My dh says just the idea would keep him from having any reaction except maybe shrinking testicles.

    steph


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