Foley catheters and erectionsRegister Today!
- by inspir8tion Mar 13, '07On 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.
- Mar 13, '07 by kathgailas 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..
- Mar 13, '07 by mvanz9999Question from peanut gallery: Is insertion painful for the patient?
Sorry for the O/T post.
- Mar 13, '07 by inspir8tionThe 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)?
- Mar 14, '07 by heather2084we dont put foleys in until the pt is out....saves work on us and a LOT on the pt
- Mar 14, '07 by inspir8tionIn the operating room, we do not put foleys in patients until they are under anesthesia.
- Mar 15, '07 by juan de la cruzFrom 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.
- Mar 15, '07 by Spidey's momQuote from mvanz9999In the ER, I use lidocaine jelly for insertion.Question from peanut gallery: Is insertion painful for the patient?
Sorry for the O/T post.
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.