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Discussion

Tips for inserting foleys

Hi all!

Just wondering if you have any tips for inserting foleys on male patients. I am usually very good at inserting a foley in a female patient, but when it comes to male patients I find that sometimes I can keep inserting it quite far but can never hit urine,and usually have to ask a colleague to attempt (and they usually get it)

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    Are you meeting resistance when you insert the foley "quite far" and don't see urine? If not, you may need to continue gently inserting the foley. If you are meeting resistance, then your male patient may have an enlarged prostate. Using a Coude catheter, or maybe a slightly smaller french may help in these situations.

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    I once had to use a pediatric Foley for an 80 year old man because of his BPH. Its not unusal to feel resistance, but not so much that you cannot passage the catheter.

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    Use lidocaine jelly. If you're trying to force a foley through a urethra and sphincters that are all clamped down due to discomfort, then it's not only going to be more difficulty but you're more likely to cause trauma to the structures along the way. Lidocaine, instilled and given some time to work, will allow the pathway to be relaxed and open, easing insertion. Plus, it's just polite.

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    Urojet, coude and "high and tight" are the tricks!

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    Phew, I'm right there with you. It's been a very long time since I've

    met a female whom I could not get into a catheter into. Cathing Males

    is my kryptonite though. Along with placing most IV's.

    Good suggestions above.

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    We aren't allowed to use lidocaine jelly (nor lidocaine for IV sticks). Wish we could, for patient's comfort.

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