Freaky female anatomy

  1. 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?
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    Joined: Jun '02; Posts: 6,584; Likes: 70
    RN - College Health
    Specialty: Geriatrics/Oncology/Psych/College Health


  3. by   deespoohbear
    Nope, you are not the only one. My belief is the female anatomy is never what it really looks like in the textbook. That would make our job WAY to easy. Had one female that we could not get cathed. Had the doctor come and try (who was mad that we couldn't get her cathed). After 30 minutes, multiple foleys, and a stylet , he finally got her cathed. He walked out of the room and I said "wasn't so easy, was it?" If looks could have killed, I wouldn't be here right now.
    Hmmm..... I thought there would be pictures......

  5. by   sharann
    Originally posted by OBNURSEHEATHER
    Hmmm..... I thought there would be pictures......

    :roll funny Heather!
  6. by   LoisJean
    Hmmm....well, there was the lady who had, (count 'em), 4 HOLES!

    Doc ordered up an indwelling and when I got down to business I wasn't certain I was seeing what I was seeing...I could definately see the anal opening and thought I had a fairly good idea of the vaginal opening, but sure enough there were two more openings side by side. I called the doc and gave him a description. He said something to the effect of, 'well, she's probably got a spare in case one goes flat'; he suggested to try 'em both and see which one delivered the goods. One dead ended about 2 inches up.

    Lois Jean
  7. by   hoolahan
    Lois That is strange!!
  8. by   l.rae
    Years ago, had a pt in ecf with 3 holes...go figure...a pair and a spare...heeeeheeeee
  9. by   adrienurse
    I HATE catheterizing women! I don't do it often enough to be good.

    I remember 2 jobs ago. I was trying to cath a lady, and I would get it into the urethra, and it would come out another hole! I thought I was going crazy. I got another nurse to try. Apparently she had been given quite the repair job after childbirth (tearing?) and there was a LOT of scarring 40 years later.
    Last edit by adrienurse on Sep 23, '02
  10. by   mark_LD_RN
    you not the only one that finds freaky anatomy I have had my share, have gotten pretty good at it now
    You guys see all the awesome stuff! I never see really freaky anatomy, just freaky piercings

  12. by   JonRN
    Male anatomy can sometimes be pretty freaky too. I went to cath a comatose guy in MICU one time because the female nurses couldn't find his urethra. Well, to make a long story short (bad choice of words) he had hypospadias, where the urethra is underneath the penis. It took a little bitty catheter, I think a # 10. They used to call me for anything weird because I had a knack for figuring it out, and considered myself to be a pretty good amateur urologist.

  13. 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 penis 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"
  14. by   bagladyrn
    The most difficult cath I have done was on a laboring woman about to go for a stat c/s. Had to put the cath in while she was in knee-chest and another nurse had her hand up there holding the baby's head off the cord. All my land marks were upside down and I needed a third person to hold a flashlight as I crouched under the second nurse's arm. Oh the joys of OB! And yes you get to see all kinds of interesting piercings!