I think there is quite a difference in how a catheter is inserted in the US compared to the UK. In the UK its standard procedure to use Instillagel which is an Anaesthetic Antiseptic Lubricant.
Instillagel is a sterile gel containing a local anaesthetic and antiseptic presented in a sterile package.
Active ingredients are (in each 100 grams):-
Lidocaine Hydrochloride (Local anaesthetic) 2.000g
Chlorhexidine Gluconate Solution (Antiseptic) 0.250g
Methyl Hydroxybenzoate (E21😎 (Antiseptic) 0.060g
Propyl Hydroxybenzoate (E216) (Antiseptic) 0.025g
in a gel made with Hydroxyethylcellulose, Propylene Glycol and Purified Water.
The gel comes in disposable syringes each containing either 6ml or 11ml. Instillagel is used when putting a tube or instrument into a body cavity. It contains a local anaesthetic to prevent pain and antiseptics to reduce the risk of infection. It also provides lubrication to ease this process.
Care should be taken when using Instillagel:-
If you have heart problems
If you have liver problems
If you are epileptic
You might feel a slight stinging just after the gel is used, but this stops as soon as the anaesthetic starts to work. Most people find that there are no problems after the gel has been used but there may be a slight soreness when the effect of the local anaesthetic has worn off. If you feel that you have had any reaction to the gel, please tell your doctor as soon as possible.
We always used instillagel for all urinary catheter insertion, even on sedated and unconscious patients and as a result our patients experience less discomfort and have very low instance of catheter induced infection/sepsis.