Ok Ok, once again, it looks like I am going to throw myself in front of the flow of comments.
In years gone by, taking off the undies was critical.
When we were still working with flamable anes. gases. Don't want static sparks you know.
Not too many of those around anymore, but the sacred cow continues to live.
Now I do agree, if your pt is for, say a cysto,,,,undies off!!!! Like I tell my pts',,,where do you think that scope is going?? Your doc is good,,,,but not THAT good
In the situation you described, I would likely pull them down, or completely off if they could get in the way.
I'm all for allowing the pt some shred of dignity and comfort when possible, and if leaving their underpants on for say a knee scope, I'm ok with that.
I usually make sure that they are not wearing their "Sunday best", because they may have an accident, or if something bad happens, I'm cutting them off if need be. If they have issues with that,,,take 'em off.
That counts for underpant, not Tshirts, bra's etc.
Those get in the way of EKG placement, maybe respiratory effort. So those come off.
I guess the question comes down to, "we have always done it this way", or is their REALLY a good reason to it. My thought is, if it does not affect the procedure, the pt feels a little more at ease with them on, and don't mind the possiblity of soiling or losing them, LEAVE 'EM ALONE!!!!
The proceeding was MY comments/feeling on the question, and do not reflect those of the staff or management.