Comments on: Urinary Catheterization

By: Urinary catheters

Urinary catheters — Sun, 28 Aug 2011 09:46:49 +0000

Thanks for the videos, was very helpful!

By: Michael

Michael — Wed, 10 Nov 2010 16:23:06 +0000

Hello Alice. I think the suggested time for catheter insertion is 5-10 mins. And also, it’s kind of weird because the erections actually facilitates the insertion, not the other way around.

There might be something clogging in there or it’s also possible that it may be psychological. Have you told the patient to relax?

Be sure to clean off any excess jelly also because it will dry up and cause rough spots on the catheter. If the catheter has rough spots from dried soap or jelly, and an erection occurs, it will feel like sandpaper and thus cause discomfort to the patient.

By: Alice Behr

Alice Behr — Wed, 10 Nov 2010 06:38:14 +0000

I care for a spinal cord injured male patient, and almost any contact with his penis causes a spontaneous erection, even routine perineal washing or adjusting the sheets. This causes difficulty inserting a catheter, which causes discomfort for him, and concerns me. It took some time for me to be comfortable dealing with a a male with reflexive erections in general, but now I am concerned because I feel a lot more resistance inserting a catheter into him than with most male patients, particularly during the last few inches – I’m assuming that this involves his prostate and/or urogenital diaphragm. Do you have any suggestions or tips? As he doesn’t have normal sensation below his shoulders (C4-5 injury), I have considered many things, including manually inducing an orgasm to allow his penis to become flaccid, but I’m not sure that would be appropriate, or even helpful. I’ve tried waiting up to 15-20 minutes after inserting the lidocaine gel, but the erections are quite persistent – Any ideas, suggestions, or tips would be greatly appreciated!
Thank you,
Ali

By: Nursing Resource Admin

Nursing Resource Admin — Thu, 23 Sep 2010 20:07:03 +0000

Thanks… the article has been updated. Much appreciated.

By: van

van — Thu, 23 Sep 2010 02:36:27 +0000

Emergency Medicine Australia
Volume 20 (#4)
pages 328-332
08/08

also you can go to google and type in “Australia Urethral Catheterization”

Thank you

Campbell-Welsh Urology–a medical textbook–is also a good source.

By: Nursing Resource Admin

Nursing Resource Admin — Sun, 19 Sep 2010 18:52:06 +0000

Can you please provide us the link to the new study? We need a reference before we can update. Thanks for letting us know…

By: van

van — Sun, 19 Sep 2010 16:32:42 +0000

2 to 3 minutes is not enough time for the anesthetic to take effect. A recent Australian study looked at its effectiveness when instilled 2 minutes before catheter insertion and found that it did not decrease the amount of pain experienced by the patient. The recommended time is at least 5 and up to 10 minutes. A hyams clamp can be used to keep the anesthetic in place. If you wait just 2 minutes, there is no need for the lidocaine–it won’t do anything.

By: Julie

Julie — Sun, 20 Jun 2010 21:36:12 +0000

Very helpful- thanks for giving us a real human model!

By: Kandace Vanatta

Kandace Vanatta — Tue, 08 Jun 2010 15:47:45 +0000

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By: markee

markee — Sun, 14 Mar 2010 10:38:08 +0000

thanks, it was really helpful