Is this appropriate behaviour when placing a condom catheter?

  1. Today I was talking to an agency nurse that frequents my ward about how hard it is sometimes to place a condom catheter properly, especially on older gentlemen!!! She said what she sometimes does is explain to the man (if his penis is small in length) it can be easier placed if he makes himself slightly erect, and she would leave the room, and then come back and place it back on.
    Now, whilst I was studying nursing, I used to work in a sexual health clinic and when we did urethral swabs of the penis it was explained to the man it was more effective and less painful if he was erect at the time, and we left the room and allowed for that to occur, and came back. It was needed.
    But for a condom catheter on a ward, is this appropriate? I feel it is not. Thank goodness it's a rare occurrence.
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    About canned_bread, RN

    Joined: Mar '12; Posts: 354; Likes: 139
    Registered Nurse; from AU
    Specialty: 11 year(s) of experience in Cath lab, acute, community

    61 Comments

  3. by   OnlybyHisgraceRN
    I don't see anything wrong with that nurses' suggestions. The purpose is to get that condom cath on and whatever works, works.
  4. by   canned_bread
    Thank you - I thought I was being a prude, but wasn't to sure!
  5. by   OnlybyHisgraceRN
    Quote from canned_bread
    Thank you - I thought I was being a prude, but wasn't to sure!
    No you are not being prude. I can understand your questioning. Personally, I have hard time dealing with erect penises at work. Internally, I get grossed out. However, sometimes its' necessary for male patients to have an erection for certain interventions.
  6. by   loriangel14
    Ewwww. No i think it's inappropriate.
  7. by   Been there,done that
    If they're sick enough to need a condom cath and can still get an erection.. I would be confused!
  8. by   canned_bread
    This patient had incontinence and did not feel the need to go, he would just urinate, but could probably gain an erection if he chose to. Although he was well into his 80's so maybe not!
  9. by   Always_Learning
    In my experience, lots of luck with getting a condom catheter to stay on...erect or not.
  10. by   evolvingrn
    I think its fine......i probably wouldn't do it.
  11. by   Flare
    a sexual health clinic is one thing, but i'd imagine a man would find it to be a very odd request if his nurse is asking him to pitch a bit of a tent
  12. by   OnlybyHisgraceRN
    Quote from Been there,done that
    If they're sick enough to need a condom cath and can still get an erection.. I would be confused!
    How come? Just because someone is incontinent doesn't mean they cannot get an erection. I have taken care of patients who were incontinent but still able to get an erection. Sometimes it's a physiological response that happens without tactile stimulation. Seen it many times....
  13. by   netglow
    Whatever, but just be prepared for the idea to be taken any and all ways by everybody involved...
  14. by   GitanoRN
    hmmm... wait for it~

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