Difficulty cathing a male pt

when you opened the meatus, do you think a pedi cath would have fit?

leslie

i havent seen many pedi caths, but i highly doubt anything was going to fit. it appeared as if there was no opening

hmmmm....wonder if there's a stricture, or even adhesions, in the canal.

sounds like a need for a stat urology consult.

never had this happen.

leslie

i havent seen many pedi caths, but i highly doubt anything was going to fit. it appeared as if there was no opening

I saw something like this in a patient from a nursing home. It was explained to me that it was stenosis due to chronic catheterization.

He had a fistula of sorts far down on the underside of the member where the urine would come out; the actual meatus on the glans was barely there, like you describe.

You cant cath them all. Sometimes you need a urology consult. Experience will tell you when you can and cant cath someone. Even then one of your coworkers may be able to finesse one in. Honestly, the fact that you are still thinking about it means that you probably gave it all you had. Better than trying to force it past a stricture/ prostate/ or whatever it was that you couldnt pass.

Afriend of my husband's had to get the opening to his member made bigger it would take him 3x as long to pee. he was just born that way

I have seen these little quick cath kits where the catheter was literally about the diameter of an ice pick.

I have seen these little quick cath kits where the catheter was literally about the diameter of an ice pick.

ouch....as i carefully cross my legs.

leslie

More than likely it's a genetic thing. It could be something he's had his whole life and has adjusted too (i.e. taking longer to urinate than the average male). It doesn't have to be too big to pass urine as long as the bladder empties). Men's meatus come in all sizes and places. I have had to use a smaller cath on a male once whose meatus was very small and midway his shaft well away from this glans. In the real world he learned to live with it.

I was always taught never to force it. I'll fiddle gently with it, if that doesn't work we've called a urologist into the room(usually one around)-many of these guys have prostate issues or strictures.

thanks for all the responses. i know it had nothing to do with any prostate problems, as the catheter wasnt even able to enter the meatus, much less get near the prostate. I've just never seen an almost non existant meatus