Is it possible for a pt to ejaculate with a foley in? - page 5

The A&O patient is claiming he has a BM and when you go to clean him up, it looks exactly like semen. Multiple staff have seen it and they all agree. However, he has a foley in and the MD says its... Read More

  1. by   Batman24
    Have you taken a stool sample just to be sure it's not a problem on that end? I would do that first as it doesn't seem like you can tell if it really is semen and if you've seen and smelt it before you won't forget it. It's distinct.

    While you can ejaculate with a foley in I would think it would be very painful and something some men would avoid and reading the men's posts in this this thread that seems to be very true.
  2. by   cherrybreeze
    Some men do find pleasure from sticking things up there..........you haven't read the threads about men coming in to the ER with stuff stuck up their penises? They even sell things specifically MEANT for that....just because you may not understand it, doesn't make it not possible.

    "Wet dreams," even at that age, are possible, too. Especially if it's been a long time since the person's had a, uh, release.

    While it's possible that the guy's a "sick pup," as someone said, I'll reserve judgement and not go that far. There ARE explanations that are perfectly normal.
  3. by   Otessa
    I have seen what 'looked' like semen outside of a foley-used gloves-treated it like any other bodily fluid.

    Pt. that said he had a BM because he was probably just embarassed.
  4. by   macsmaker
    Like I said in my earlier post, because of the role a man's "plumbing" plays in reproduction, a Foley can be stimulating. For me however, I do not find this pleasureable. Rather, I find it very uncomfortable. You could be right, there may be a perfectly benign explanation. But, judging by the amount of "BM" in the original post (go back and read it) I tend to believe the patient did climax. If it were me, I would have cleaned it up myself.
  5. by   UKRNinUSA
    I looked after a patient recently he thought he ejaculated around his foley every time he had a BM. It turned out that it was purulent material from the MRSA infection in his bladder. Ick!
  6. by   macsmaker
    I have had this fluid seep out too, but not near the quantity that would occur during ejaculation. Mostly just a "oozing" of a thick, pus-like secretion right a the opening. Certainly not enough to dribble down my privates.
  7. by   Cul2
    This is the kind of thread that really gives male some patients confidence and trust in the nursing profession. One nurse actually wrote: " Is it possible for a pt to ejaculate with a foley in?
    men can ejaculate any where and at any time. it's the nature of the beast. i could clap my hands and then say "Now, ejaculate!" and my boyfiend would. Men are men."

    Hard to believe we find this kind of disrespect for men on a professional nursing blog. What would be the medical purpose of discussing such a subject on an open blog besides pure voyeurism?

    Interesting that we don't find a thread anywhere on the blog about female patients bringing themselves to orgasm with a foley insertion. I wonder why? A little gender bias, maybe?

    Do some of you even think about what your writing, who may be reading it, and whether your thoughts convey dignity for your patients? I'm not saying all of the posts show disrespect. Some are clinical observations. But there's enough of the unprofessional banter here to make some male patients really wonder how some female nurses really view their male patients. Stereotyping and gender discrimination certainly goes both ways, doesn't it?
    Last edit by traumaRUs on Aug 9, '09 : Reason: tos
  8. by   Mike A. Fungin RN
    Quote from Cul2
    This is the kind of thread that really gives male some patients confidence and trust in the nursing profession.

    Hard to believe we find this kind of disrespect for men on a professional nursing blog. What would be the medical purpose of discussing such a subject on an open blog besides pure voyeurism?

    Interesting that we don't find a thread anywhere on the blog about female patients bringing themselves to orgasm with a foley insertion. I wonder why? A little gender bias, maybe?
    :yeahthat:

    If you don't want to read a long post, just take away this one thing. Please take care to treat your male patients with the same respect that you'd like a male nurse to give you when you're in a vulnerable position.

    Just to address the source of all this -- I can't imagine how ejaculating with a foley in would be anything but excruciating, and I happen to know that it does not take much pressure to stop to flow of ejaculate and that stopping the flow is also very painful.

    Moving on. As a man and a nurse I wasn't thrilled with the post, "If he's still there when you go in, throw a towel at him and tell him if he's going to be doing that, then he really needs to clean himself up afterwards on his own." You'd be assuming a lot, and acting pretty disrespectfully. I'd never throw anything at a patient. Also, you don't know that it's ejaculate, and even if it is you don't know that the patient was "doing that." Not very professional.

    I'd ask you to consider this... that we all know many female patients are uncomfortable with a male nurse providing intimate care, and that while some get over it others will request a female nurse. That's fine with me, either way. But guess what, a lot of male patients feel the same way. Most guys aren't especially comfortable with receiving intimate care from a female nurse. For every patient who flirts with you, there are a lot more who might feel a little funny about being vulnerable in front of and receiving intimate care from a woman who isn't their mother, wife, or girlfriend.

    Hey, ever stop to think some of the guys who are flirting do it to cover up how uncomfortable and/or scared they are? I've been told as much by a few male patients.

    You're not going to hear about this discomfort (or sometimes even their physical pain) because guys are "supposed to" suck it up and not complain, and most would feel silly asking for a male nurse when there might not even be one around.

    Kudos to Batman24 for working the problem instead of jumping to conclusions:
    Quote from Batman24
    Have you taken a stool sample just to be sure it's not a problem on that end?
    Okay, I'm done. I know most of you ladies are awesome and understand all of this without needing to be told, but that was for those who need a heads up.
  9. by   caroladybelle
    Quote from Cul2
    This is the kind of thread that really gives male some patients confidence and trust in the nursing profession. One nurse actually wrote: " Is it possible for a pt to ejaculate with a foley in?
    men can ejaculate any where and at any time. it's the nature of the beast. i could clap my hands and then say "Now, ejaculate!" and my boyfiend would. Men are men."

    Hard to believe we find this kind of disrespect for men on a professional nursing blog. What would be the medical purpose of discussing such a subject on an open blog besides pure voyeurism?
    You haven't been a member very long, I see.

    There is a very long thread back here somewhere about providing for the need to bring in "professional" sex workers, subsidized to provide "services" to patients in the name of good prostate/psych health, with much advocating by male posters in the thread. Not to mention threads as to whether long term inpts (gay or straight) can have sex in the hospital. Plus the postpartum threads, where you have men wanting to have sex with a woman shortly after birth. Or having taken care of the male that got his penis stuck in the outtake suction of a public swimming pool (no it didn't just fall in there). Or finding teen visitors having locked themselves in the family room to get it on, while their family member was dying next door.

    As a single woman (no, not a prude nor a virgin) with limited experience in actually living with men, I had patients that had a foley, that needed to provide a semen specimen (to start chemo w/ a high rate of causing infertility). I have also had young healthy endstage patients that wanted to have sex, and yes, some of this information could have been useful.

    Quote from Cul2
    Interesting that we don't find a thread anywhere on the blog about female patients bringing themselves to orgasm with a foley insertion. I wonder why? A little gender bias, maybe?
    Actually there have been posts about LOLs that have enjoyed pericare a bit too much, and alot of posts about male nurses that are hesitant about cathing or performing pericare on female patients because they are afraid of being accused of improper behavior.

    There are female and male posters that stereotype female nurses as catty, not assertive enough (and if they are assertive, they are a -sounds like - witch,) or overly hormonally.

    But really your example is not completely sound. While a man's penis is a sexual organ, a woman's urethra is not. (Please, let everyone reading this know that there is a BIG difference in those openings/structures down there. )

    Quote from Cul
    Do some of you even think about what your writing, who may be reading it, and whether your thoughts convey dignity for your patients? I'm not saying all of the posts show disrespect. Some are clinical observations. But there's enough of the unprofessional banter here to make some male patients really wonder how some female nurses really view their male patients. Stereotyping and gender discrimination certainly goes both ways, doesn't it?


    Is gender bias all over this BB? Yes, but it is not merely directed at men but also at women. If there is one thread on the BB about witchy women and hard it is to work with them...there are too many to count. If I had a penny for every male nurse that thought that there should be preferable hiring,NS admission for men, I would be a rich woman.

    This BB is not designed for pts, and there are plenty of things on here that might hurt their feelings...it was designed for nurses to vent and be able to discuss matters with pt care Sometimes this will be disrespectful of some sensibilities (I did think that the comment about men are men, being able to ejaculate anytime was more than a bit tacky). But unfortunately many of us have had pts that have "proven" that statement. And we are open with that information - though it could have been less generalized to the male population at large.....Much like the "women are catty to work with, naturally" statement that gets repeated on this BB ad nauseum.

    And as this post was clearly labeled, those that did not think that this was an appropriate topic to view could have easily passed it over. The topic did not sneak up and force us to view it.
    Last edit by sirI on Aug 9, '09 : Reason: quoted/referred to edited post
  10. by   morte
    Quote from Cul2
    This is the kind of thread that really gives male some patients confidence and trust in the nursing profession. One nurse actually wrote: " Is it possible for a pt to ejaculate with a foley in?
    men can ejaculate any where and at any time. it's the nature of the beast. i could clap my hands and then say "Now, ejaculate!" and my boyfiend would. Men are men."

    Hard to believe we find this kind of disrespect for men on a professional nursing blog. What would be the medical purpose of discussing such a subject on an open blog besides pure voyeurism?

    Interesting that we don't find a thread anywhere on the blog about female patients bringing themselves to orgasm with a foley insertion. I wonder why? A little gender bias, maybe?

    Do some of you even think about what your writing, who may be reading it, and whether your thoughts convey dignity for your patients? I'm not saying all of the posts show disrespect. Some are clinical observations. But there's enough of the unprofessional banter here to make some male patients really wonder how some female nurses really view their male patients. Stereotyping and gender discrimination certainly goes both ways, doesn't it?
    i was somewhat nonplussed by some of the reaction here.....but what you need to grasp is that some male patients do things on purpose to embarrass female nurses....and this would be an example..
    and this thread was about a man, hence the no females are being discussed here, if you have one, please feel free
    Last edit by sirI on Aug 9, '09 : Reason: quoted edited post
  11. by   macsmaker
    I apologize, I didn't mean to stir everyone up by responding to the original post!

    I really don't seen any gender bias in this particular thread. Could be in others, I guess, but I've not come across them.

    From a patient's persepective, I've only had a few occasions when I thought a medical professional was not treating me well. For the most part, I have been impressed with the caring and professional attitudes I've experienced when being cared for.

    Having said this, patients have responsibilities too. Among them is to recognize that medical personnel are extremely busy and that patients need to as much for themselves as they can. I have found this pays off in the long run, as the staff appreciates someone who will willingly take care of themselves.

    As an example, several years ago I had to have a cystoscopy at the same time I was having a colitis flare. During the procedure I accidently "went," leaving some bloody mucus (among other things) on the pad. When the urologist was finished and removed the scope, his nurse started to clean me up. I told her that's was okay, just hand me some paper towels, help me off the table and to the bathroom, and would I clean myself up.

    With a history if IBD and recurring UTIs, I've more tubes, scopes and fingers in various orifices than I care to remember. On more than one occasion a nurse has expressed their appreciation that I make an effort to not expose myself more than is absolutely necessary, and to take care of myself when possible. More than one have told me stories of patients that seemed to delight in needing an extra "exam."

    The pt. in the original post was described as being alert and oriented. If his accident was legitimate he should have been willing to clean himself up. After all nurses are people too!
  12. by   JomoNurse
    No matter where you go in life, no matter what you're doing, no matter what you say, there is ALWAYS a Debbie Downer in the group. Sometimes people just need to lay back, chill out, and know when to laugh. None of us meant disrespect. It was a joke. It's OK to laugh and not turn everything into a debate
  13. by   Batman24
    I don't think this was gender bias either. It's a valid question and the OP seemed to really want to know if this could be ejaculate and it could be. I would be sure it wasn't a problem with their stool with a sample to be on the safe side. I wonder if it isn't ejaculate because I think the OP would be able to tell if it was. It could also be pus from an infection so this does need to be looked into more carefully.

    The reason why this is directed towards men and only men is because of the different body parts and the result they both produce. Women can masturbate with a foley much more easily because there is no tubing in the vagina. The foley isn't inserted into our genitalia. And as most women don't ejaculate they can do so with much greater discretion if need be. A lot of patients when they have foleys are uncomfortable and for most sexual release isn't first and foremost on their mind. If men do masturbate with a foley and are able to clean themselves I'd let them and provide some privacy, but I would still check to be sure it's cleaned properly to avoid infection. And yes, some patients both male and female get off being touched by staff. Protect yourself in these situations as need be.

    The comment about men getting erections all the time I think was just in jest in the same way all women are nags. I think most of us know men don't get erections every time the wind blows, not all blondes are stupid, not all women are nags, etc. Some comments are just in fun and not meant to offend.

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