Odd finding (Concerning genitalia)

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Specializes in Labor and Delivery.

I'm a bit confused about this. I am precepting in the ER & Lately I have noticed that when inserting Foley caths or enemas/suppositories, alot of people have what I would describe as "skin tags" around the opening of the orifice or lady parts. This occurrence has not discriminated between male and female and I have noticed it most prevalently amongst middle age to older adults. Normally, this is an embarrassing topic to discuss and is worthy of an incognito Google search, but I have not been able to find much information. Perhaps my wording is a bit off.

Has anyone ever noticed this and Can tell me what I am seeing?

Please, no judgement or snarky comments. This is just something I do not know. None of us are above learning something new.

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Specializes in critical care, ER,ICU, CVSURG, CCU.

Normal varrient urethral and rectal orifice

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Specializes in Acute Care Pediatrics.

Ugh. Orifice. Horrible word.

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Specializes in ICU, LTACH, Internal Medicine.

This is how some men and women are made :)

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Specializes in LTC and Pediatrics.

Around the orifice could be hemorrhoids. Though, skin tags can be a part of the aging process.

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That's the least of it. I've seen some pretty confusing anatomy when trying to insert a foley. I'm always very happy when I have a patient with the "expected" variety.

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Specializes in Pediatrics, Emergency, Trauma.
That's the least of it. I've seen some pretty confusing anatomy when trying to insert a foley. I'm always very happy when I have a patient with the "expected" variety.

Agree.

I once encountered a urethral opening very close to the lady partsl opening, along with fused urethral openings...and let's not forget hypospadias...

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Specializes in Labor and Delivery.

One time it looked like tree bark around the orifice. I was administering a milk and molasses enema and I couldn't visualize the opening so I just kinda "went for it". It worked, this time.

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One time it looked like tree bark around the orifice. I was administering a milk and molasses enema and I couldn't visualize the opening so I just kinda "went for it". It worked, this time.

That sounds like a form of HPV

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Specializes in Hospice.
That's the least of it. I've seen some pretty confusing anatomy when trying to insert a foley. I'm always very happy when I have a patient with the "expected" variety.

When I worked in the hospital we once had a run of women whose urethral orifice was off center-it got to be so common I almost forgot what the "normal" looked like.

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Specializes in Acute Care Pediatrics.

We once had to cath a baby that had been a patient for many weeks, but decided to spike a temp so they wanted a urine culture. When we went to cath him.... we noticed his member had no hole. Nada. Not even the hypospadias kind of hole. There was literally NO HOLE in his member. We knew he had something somewhere because he wet diapers like normal.

We found his pee hole in the middle of his testicles.

Weirdest thing ever.

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We once had to cath a baby that had been a patient for many weeks, but decided to spike a temp so they wanted a urine culture. When we went to cath him.... we noticed his member had no hole. Nada. Not even the hypospadias kind of hole. There was literally NO HOLE in his member. We knew he had something somewhere because he wet diapers like normal.

We found his pee hole in the middle of his testicles.

Weirdest thing ever.

Wow. Learn something new here every day.

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