Freaky female anatomy

Nurses General Nursing

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I'm starting to get a complex. In recent cath attempts, I keep running into patients who have stuff prolapsed, holes in strange places, and generally not at all textbook anatomy. I confirm with a fellow nurse, who marvels at my ability to get patients whose urethras refuse to reveal themselves. Am I the only one? :eek:

Originally posted by OBNURSEHEATHER

Admit it Nancy.... it was you. ;)

:D Heather

Nope, I barely tolerate my annual visit to the Gyn...I sure ain't gonna do it for fun!

Besides, my husband husband checked for me and he says my parts are "perfect".

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All doctors who only use the metal speculums (cold cold and pointy) should be subjected to the same thing.

I myself, am forever on a quest for a new doctor.

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ugh..i have to go and have my pap redone...insufficeint specimen...in th edoc's defense...my uterus is waaaaaay tipped, and therefore hard to even visualize the cervix....and because it's so tipped, paps are veeeeeeeeeeeeery uncomfortable therefore hard to relax, therefore even harder to get to it.....

any advice??? anyone?

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Specializes in Community Health Nurse.

Prop your buns up on a pillow or firm wedgy before the doc does your pap, sunnygirl. I heard something to this effect from one of my old nursing professors years ago. Anyone else ever hear of such a thing? :nurse:

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Originally posted by FullMoonMadness

just this past weekend i had to cath a 78 year old male with a penile implant.this was the most unatural feeling apendage.The end of his member was just suspended in air and it really freaked me, which is weird 'cause i thouhgt i had seen it all and nothing much gets me freaked.I wanted to tell him "just because you can dosnt mean you should"

We recently had a comatose patient come up from E.R., and nobody mentioned about the implant. The thing was huge, and as you describe, just sort of waving in the air, playing Omar the Tentmaker with the sheet. When I whipped the sheet down (we were going to lift/slide the guy from a guerney into the ICU bed) I had to stifle a scream!

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I was called in by another Rn to help find the urethra. We couldn't find it! Inside of her labia looked like a round ball with "potato eyes on it." We placed the woman on a bed pan and watched her void. She had urine coming from all the different eyes. She told us of having only one child and a very traumatic birth without the aid of a hospital, doctor, or midwife. The nurse called the doc and he chastized her -- until he took her and couldn't find a place to insert the catheter either!

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I thought penile hypospadias was usually corrected shortly after birth? Wouldn't it affect a man's later fertility if the meatus was somewhere under the scrotum?

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I don't think they fixed it back in the old days...remember medicine has come a LONG way even since the 50's. I would assume even if they were shooting sideways it is still gonna get some swimmers up there. Probably just had to have more sex...eww!

Kristy

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I saw this post and decided to add my own story...

Got to do my very first cath on a female this past semester. The woman was very large, and my instructor is not the type to jump in and help, just observes. Got the cath kit set up fine, and had to hold the womans stomach out of the way with one hand while cleaning the peri area. Went to find the appropriate hole with the cath, and it wasn't there! The instructor didn't see it either, so told me to "hold on", and went to get another nurse. So there I stand with the cath in one hand, the abdomen in the other, and the second nurse comes in and can't find it either. So they get another nurse, from L&D, and she probes while I am still holding the abdomen out of the way, arm shaking from fatigue at this point, and finally finds it up inside the lady parts. But there are two holes, so we took a guess, and luckily got it on the first try.

I never thought that cathing a pt would be so strenuous, but man, did my arm get a workout that day! My arm and shoulder that I had to use to hold the abdomen out of the way with was sore for three days! No one prepared me for that! I always thought every one looked the same "down there"!!

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No, you are not alone. When I worked in a LTC. I had to cath an 80 year old woman it was a challenging thing but I found it. So now cathing a female isn't that much harder once you have to do some fancy maneuvering.

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I did my first cath on a 55 yr old with no labia minora. Just Majora's, how rare is that?

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