Anyone know a trick, or two, to cathing pts with BPH

[Azure_Skies]

I always have problems placing foley caths in older men:confused: I wish I knew the secret. Women are no problem for me. Please give me some helpful info if you don't mind.

Thankx:D

[babyboomer6]

I have had success with holding the member straight up and slightly toward the persons head during insertion. Also if a coudee is allowed they are almost always easier. When the prostate is bumped up against with the cath instead of forcing just apply sustained pressure and usually it will go on in in about 30 seconds,good luck.

[shudokan-RN]

I was taught by one of our hospitals urologists that the ky that comes in a foley kit is in the syringe for a reason. inject about 1/4 to 1/2 directly into the urethra . may take longer for urine return.. also we have 1% lidocaine uro-jet avail... and remember never inflate the balloon until urine return established. had a new RN perforate the urethra of a gentleman ouch!!!

:eek: :eek: :chair:

[Scavenger'sWife, RN]

All the above answers are great. Also try "twirling" the cath a little bit between your fingers as you push.

[monkijr]

You can try putting the cath in the fridge to make it a tad stiffer too.

Also, have placed the cath on ice, prior to insertion, with the lidocaine jelly works great.

Good luck.

[adrienurse, LPN]

Eww, the thought of getting an ice cold tube up the member -- not an appealing thought. Whatever works, though. I will second the suggestions of getting the person to cough and raising the member a little with your hand. Tend to help.