Helpful Hints: Female Patient Urinary Catheter Insertion - page 3

Additionally, when a woman is supine for the catheter insertion procedure, it can cause the urinary meatus sink down, just inside the vaginal opening, resulting in the clinician being unable to... Read More

  1. by   echase
    That's where the landmarking with another catheter after 'misses' really comes in handy.
    You could also try with the pt in another position, as prolapses are positionally influenced.
  2. by   coprogirl1
    As a hospice nurse, I am always looking for ways to keep my patients comfortable. An African nurse showed a colleague of mine a new way (for me) to insert a straight or Foley catheter. Turn your patient on her side, in Sims' position. For me, she must be on her left side, upper leg bent at the knee. Every time I have done this, the meatus has been easy to visualize. I guess after 42 years of nursing, the old dog can still learn a new trick. SO much more comfortable for the patient. sterility maintained and no vaginal insertions.
  3. by   BottomLineUpFront
    I'm a biologist, not a nurse, and got to this thread with a search. For me, it doesn't matter whether I'm on my back or my side, having a cystogram, cystoscope, urodynamics, or, most recently, a Foley due to blocked urethra and inability to urinate--these "tiny" instruments in the urethra are horribly painful.

    These catheters are nuts. The lidocane gel does nothing, except hurt when put in the urethra.

    Yes, urologists try to threaten the patient with the idea I'll self-cathing if dilation doesn't work. They may as well tell me I'm going to stick a pen in my eye. Dig out the anesthesia, Bubba, or stay away from me.
    Last edit by BottomLineUpFront on Sep 29, '17 : Reason: grammer