Catheter while Erect

Do any of the guys out here have problems using a catheter while having an erection? My wife and I have recently started incorporating catheters into our play, but nothing ever comes out of me. Going in is never an issue so I'm wondering if the erection could be pinching the catheter. I'd be surprised if my bladder was truly completely empty every time we've tried. We are using 14fr straight catheters. I love the feeling of being catheterized, but just a little disappointed that nothing comes out. Thanks for help!

Straight catheters are usually short and intended for female use. Females have a urethra around 3" long.

If you are erect - or even if you're not, the catheter will not be reaching the bladder sphincter or even the prostate gland which sits in front of the bladder sphincter.

Use a Foley, they're about 14" long and most of that length is needed for the average guy - and maybe look at some male anatomical drawings!

Good question... when my husband and I try we can't get anything out of him either.

BigK, thanks for the suggestion. I actually do have straight catheter for men. They are about 16" long. If 14" is about the length that is needed perhaps we did not go in far enough. Next time I'll pay more attention to how far in it is.

I've actually thought about trying a Foley. I know my wife has shown interest in them. The only thing that scares me about the Foley is the balloon. I figured I start with the simple and work my way up.

Thanks, again!

Do you have any friends who are nurses or work in healthcare that could show you the proper way to insert a foley with the balloon safely?

BigK, thanks for the suggestion. I actually do have straight catheter for men. They are about 16" long. If 14" is about the length that is needed perhaps we did not go in far enough. Next time I'll pay more attention to how far in it is. I've actually thought about trying a Foley. I know my wife has shown interest in them. The only thing that scares me about the Foley is the balloon. I figured I start with the simple and work my way up. Thanks, again!

Well, I did say straight catheters are usually short. An erect penis is not usually helpful with a straight catheter because the cath pretty well has to double back on itself between the base of the penis and the prostate gland - In fact it's an 'S' bend - again, have a look at an anatomical diagram.

This doubling back means that the urethra needs to be persuaded to take a less torturous path, usually by holding the penis in an upward direction toward the umbillicus and the cath has to be persuaded to bend a little too - all of which means discomfort, probably considerable discomfort and possibly the creation of a false urethra if it goes astray at one of the bends.

There is nothing to fear from the Foley balloon. If the balloon is not inflated then it is the same diameter as the catheter. It doesn't even need to be inflated when it is in the bladder unless you want it to be retained there. If you do want to inflate it then first of all buy one with a prefilled syringe of sterile water. Observe the capacity of the balloon marked on the packet. When urine starts to flow, plug the catheter or pinch it with locking forceps. Advance the catheter another inch or two into the bladder to make sure the balloon clears the bladder sphincter and then connect the syringe and press the plunger SLOWLY to make sure you are in the bladder and do not over inflate the balloon beyond the stated capacity - in fact I'd say 10% less. Detach the syringe and gently pull the catheter out until you feel it seat against the sphincter. To deflate, attach the syringe again and the water will usually push the plunger out. Make sure you get out all that you put in (draw a little more if you don't reach the syringe mark you started with) and even then leave the syringe connected so the balloon stays deflated on the way out.

I cannot emphasise enough the need for sterility and a catheterisation pack which costs a buck or two is a good investment to create a sterile field with the paper in the pack, sterile gloves (not from the pack in your garage), lube sachets (one use) and antiseptic etc. Watch one of the nursing instructional videos, there are plenty on the internet, and follow the procedure religiously.

BigK, Thanks for the help. I guess it's off a more anatomically accurate diagram.

Peaches, I don't but bet my wife does. I'll ask her.

BigK, and others,

In the link below, which I could not get to do the "normal" link thing, so if you want to have a look you will probably have to hand type all that crap in to view the page I am trying to show you.

Anyway, I thought it might be important to point out a few other misconceptions I have seen in various posts in this thread, so by all means, I mean no disrespect.

The link below is a page that is from a catheter company (you know, the one that starts with a Bar and ends with the 4th letter of the alphabet, lol) It has a picture of two catheters, the balloon portions. It shows one inflated properly, and one inflated improperly. Then it also gives the exact amounts of fluid that should be put into each size balloon. And in case no one wants to type that addy out, I will give them to you here.

BALLOON SIZE & PROPER INFLATION AMOUNT

3cc balloon = 5cc's

5cc balloon = 10cc's

10cc balloon = 20cc's

30cc balloon = 35cc's

75cc balloon = 80cc's

We were always taught in nursing school that first of all, we are never going to use a 75cc balloon catheter so don't worry about it, lol. And really not a good idea at all for a play situation. I have used quite a few 30cc's, and they were always for women with indwelling catheters that had been in for years.

But our instructor told us we would almost always be using someplace between a 12F, once in a great while but would usually be using a 14F-20F with usually 5cc-10cc balloons. And she's right, those are the ones I use the most. But she also taught me exactly, or pretty much what the chart reflects is that usually twice the amount of fluid should be infused into the catheter balloon. So if you have a 18F with a 10cc balloon, you are going to infuse 20ccs of fluid.

And you guys don't have to worry about them breaking inside. Follow the rules and you will be fine. I used to play with these things with some of my fellow nurses,(hey, what else are you supposed to do when you are snowed in and no one can leave and no one can get in?lol) Anyway, you would be shocked at how much a catheter balloon can hold before it breaks. They are sturdy suckers, trust me.

Another rule of thumb is that prior to the Foley insertion, you should inflate the balloon with about half of the desired amount you will be infusing once the Foley is placed, so you can check to see if there are any leaks, cracks, or weak areas/manufacturer defects, etc. It happens, and is a good rule of thumb, actually, not to get all nurse technical on you, but doing that is actually proper procedure, lol.

Another thing I was also taught, and it works every single time is when putting a cath in a guy and you meet resistance, a little resistance, please keep that in mind, we were always taught to pull the penis a bit more taught and pull the penis towards his bellybutton. Not sure how or why it works, but it does everytime. If you meet a lot of resistance, then stop and DO NOT go any further.

Another point, and I was taught the same way, and the nurses that are just graduating are being taught the "correct" way as well, but, they are also being taught that there is "book nursing", and then there is "real nursing". See, we were never taught "real nursing", we had to learn that the hard way, lol. What I am saying here is that putting in a catheter is NOT classified as a sterile procedure anymore, but is now considered a clean procedure.

Yes, you do need to try and keep things as sterile as possible, but keeping a "true" sterile field through the entirety of a catheter placement in real life just really isn't possible unless the patient is knocked out completely for example. So yes, you still need to be careful, be as sterile as you can, but if you somehow contaminate your field or something else along the way, it's not really going to matter. Remember, people self cath or have others cath them multiple times a day because that's the only way they can pee, and I can promise you, they never use sterile technique, hell, most of the time they just rinse the catheter in some water then either put it on a towel to dry, or put it in a zip lock bag and use it again and again, and again, and they are perfectly fine.

So relax a bit, enjoy yourself, but don't be an idiot either. If you happen to hit the wrong hole, as in her poo-hoo, then you absolutely need a new catheter, but other than that, trust me, you're good to go. Use common sense and you will be okay.

So good luck, take a deep breath, everyting's going to be just fine.

Mashie

http://www.bardmedical.com/Resources/Products/Documents/Brochures/Urology/FoleyInflationDeflationGuidelines.pdf

Thanks Mashie for that explanation and your corrections.

Looking first at sterility if I may. I agree that it is likely impossible to achieve total asepsis in this procedure. However we are talking about the play situation here and it's well known that many members are bereft of any experience, many more are cavalier in their experiments, with little thought for even basic cleanliness let alone sterility.

I saw only this morning a post from someone who catheterises his wife over and over again with the sole catheter that he possesses. He doesn't mention if, or how, he cleanses it. I've posted elsewhere that a catheter should not be used more than once and even not reinserted if it's simply withdrawn for another try. Yes, that is over the top I know but that is better than dropping it on the floor and putting it back as some would do, because it's the only one they have!

I agree that those who self catheterise for medical reasons are somewhat cavalier in their attitudes to sterility. They can probably afford to slacken off on sterility after a while because their bladder will achieve a degree of tolerance to infection. A first timer however should at the very least be careful.

Regarding balloon inflation recommendations there are many instances on the web where pretesting is not recommended - an extract from one - Pretesting catheter balloons is commonly recommended as a way to prevent insertion of a defective catheter. Some catheter manufacturers no longer recommend pretesting because their balloons are pretested during the manufacturing process. Pretesting silicone balloons is not recommended; the silicone can form a cuff or crease at the balloon area that can cause trauma to the urethra during catheter insertion.10,13

Another extract - Don't test the balloon of a silicon catheter. The balloon does to fully return to it's pre-inflated shape after testing, which can irritate the urethra during insertion.

In all materials, any stress will lead to fatigue and potential failure. It appears that nursing instruction varies on the practice and it seems to be about 60 : 40 for pretesting. Given that a faulty balloon will not inflate if there is a leak there would appear to be no advantage in knowing that it will inflate! Given also that a manufacturer will test all such products before distribution the failure rate to inflate or deflate will be minimal and has been put at 0.4%, I'd prefer - when I do inflate the balloon - to do it just the once but I accept there are contrary views.

As for the capacity of a balloon the correct volume of water to instill is marked on the valve neck. I have about 24 catheters of various sizes. The packing states on the outside the balloon capacity and the same capacity is marked on the valve neck. I don't have any Barxxxx so they may differ and from the link you provided they do differ. I can see that for long term installation there could be leaching out through the balloon membrane and therefore an over inflation might be desirable but for our purposes I'd prefer 10% under inflation.

I made an error in saying that one should pull the penis down to ease a difficult insertion, in the case stated of a straight catheter - that should have been upward as it takes out one of the two natural bends in the male urethra leaving just the one smoother bend - see any anatomical illustration. I'll amend my error immediately.

There are of course, as I said before, contrary views on all these matters but the main criteria is to take it easy, be as careful as you can and enjoy your play.

Drgw: welcome to the catheter fun club. I wear a Foley catheter or an external catheter 24/7 for several years, inserting a Foley in myself once or twice a week. I always drink a lot of water before putting in the Foley, & wait until it feels like I have to "go." Then I'm sure to have urine flow when I reach the bladder. The next IMPORTANT tip is to keep shoving the catheter into the penis farther (I put it in up to the side port) so that when you inflate the balloon it's surely in the bladder and not the urethra.

Balloon size: I use a 5 ml size and put in 7-8 cc's. If Bard says it's safe to put in 10 then a little safety margin is OK. I've had the catheters pulled firmly by accident several times, with considerable stretch but the balloon never came out. I wouldn't recommend the larger sizes. The balloon fills up a lot of the bladder and sticks the end of the tube into the interior. So a 30cc balloon pushes the tip higher into the bladder, maybe causing more residual urine than a smaller balloon. As far as I know 30 CC balloons are used for post prostatectomy surgery when the big balloon fills the scooped out space for bleeding control.

You don't have to be afraid of Foley catheters. Just go to youtube, see several videos on how to do it, go to the library and borrow a nursing procedure book. Go to a medical supply online store like KCK medical (my fave) or Allegro. Get several insertion kits which have the 10cc syringes, and a pack of 10-12 Foley catheters (try 16 or 18 French-5cc balloon) all for the price of going out to a nice restaurant or 1/2 tank of gas. While you're at it, buy some drainage bags. I use only the Conveen 'security +' leg bag. It's got a fabric backing for next to the skin comfort, corrugated tubing for non-kinking, does not leak, very comfortable fabric straps and lasts 2 weeks. A large bag for use on the bed would be nice for overnight.

Drink lots of water: It'll flush out the bladder to prevent infection, and it'll be more fun seeing the bag fill up.

At work we usually use 16Fr foley caths with 10cc balloons. It seems to be pretty standard for males and females, occasionally 14fr for smaller ladies or 18fr for larger people.

Remember also, that urine itself is sterile. Its the bacteria from the urethra and other parts in that "area" that are not. That said, using the same catheter over and over sounds disgusting.

Thanks for all help and encouragement. I gave it another go earlier and it worked. Apparently I was not going far enough in.

Since I don't enjoy anything being inserted into my urethra I don't think that having an erection would ever be a problem. Another words I am waaay to anxious to even consider getting erect.

In the United States, when we talk about a strait cath, typically we mean a catheter that doesn't have a balloon on the end of it, often times they are red and usually a 14 F. But in all honesty, if we don't have any without the balloons and I have to get a sample to send to the lab then I just grab a regular 16 F that does have a balloon on it. I inserts it, collect my sample then pull it back out again. In my area when we talk about a strait cath we are usually referencing the procedure, not the product being used. So if I need to cath them for a sample to send to the lab typically I will say, "I have to go strait cath this guy". Which tells my STNA's that the catheter will be in and out, and will be tossed once my sample is collected.

Now, if I go and tell them I'm putting in a Foley, then the STNA's know that I'm placing the catheter and it will be permanent. But like I said, if you are out of the red 14's, then you grab the next closest in size which will always have a balloon, then you stick it in, get your sample, and pull it back out and toss it.

Now, we also have these nifty little other things called female catheters. They are meant for one time use and do not have a balloon, but they are really cool. They consist of a collection tube that is about 6-7 inches long and about an inch and a half in diameter. Inside them is a 6 inch catheter if you can even call it that, lol. But I don't know what size the catheter is, but if I had to guess I would say it's probably someplace between a 4F and a 6F. Putting it in perspective, it's probably the size of a round coffee stirrer, about the same length too. But it comes with two lids, one lid that seals the tube when the sample has been collected, and the other which is connected to the tube in the bottle. So you flip open the cap on the tube and the little catheter is pulled up with it so you have room do grab it and pull it totally up and lock it into place. The package also comes with a label, the extra lid, and the lube. So when the tube is full, or you have had enough you simply unscrew the lid with the little catheter attached to it and toss it, then replace that lid with the other one in the package so nothing leaks. Sounds great, however I have gotten more complaints from women when I have used them. They say they hurt so much more than a normal catheter. The tiny catheter tube is made of plastic, and being that small of a size it would stand to reason that it's going to be a bit stiff and ridged. So I don't really use them very often.

Now on te guys. I was taught in nursing school to slowly advance the catheter, when you start getting urine then you can be almost certain you have made it through the bladder sphincter and into the bladder. Then, advance the catheter another few inches, then inflate your balloon, then pull back on the catheter gently to seat the catheter balloon against the neck of the bladder sphincter to help prevent urine from leaking out and around the Foley. And don't be alarmed if the first urine you see is slightly dark in color or even reddish. That often happens after you have disturbed the fine and very sensitive mucosa lining of the urethra, but that will clear in a relatively short period of time. Another thing when cathing a male, often times, probably more often than not actually I have to advance the catheter all the way to the bifurcation (meaning the back end of the catheter where it splits into 2 different ports), and that's perfectly fine. I always play with it a little when I get urine. I will advance it a bit more to see if I am still getting urine, and I will pull it out a bit for the same reason. It give me a "measurement" of sorts, allowing me to be able to see and help form a mental image of what I'm dealing with. Then as mentioned earlier, fill the balloon, seat the catheter, ask the patient if they are having any pain or discomfort, voicing complaints of a burning sensation, or feeling like they have to pee is normal and will also subside after a few minutes.

Peaches you mentioned something about a 16F being the average size, yes, that's primarily what I use and most others as well. They pretty much fit everyone, meaning adults. Children are a totally different story as they are not fully developed and naturally would require smaller sizes. Not talking about doing this to kids, just tossed it out there to put the next paragraph into a more proper perspective.

Then you said it can vary a little, "occasionally a 14F for smaller ladies, or an 28 F for larger people." Well I hope by that statement in reference to size you are not referring to their physical outward body size, are you? I don't want anyone reading this to make the assumption, or association that a patients height, weight, or body frame should, would, or could be a way of determining the appropriate size catheter to use on a patient because nothing could be further from the truth. When it comes to internal organs and other various inner workings and parts of a human body, usually there is no connection or correlation. I could go into hundreds of examples here to prove my point but don't really feel like I should need to. Every patient is different, so your best bet as you sort of pointed out earlier is to start with a 16. If it's causing pain, or feels like you are having to push it a little harder than normal, then apparently it's too big and you will need to place a 14. If you get the 16 in and it goes in very easily and you have leaking, chances are, you need to place either an 18 or a 20.

Working in the medical field and being the person that places caths as part of the gazillion other things often times you can pick up little helpful hints, or you are taught or learn things like, men faint at the site of a needle almost 75 percent more than woman. So the lesson to knowing this fact is, play it safe. If you are giving a guy a shot in his fanny either make him get up on the table and lay on his belly, or make him lay his chest on the table, not just be able to stand close to it and slightly bend over with his hands on the table, because in that position if he goes down he's going to go down and down hard, possibly hurting himself. I have a thousand little nursing trick, I might actually start a blog about them, like on yahoo on their articles "The 10 thing a waitress won't tell you". I'm sure it would be an eye opener for a lot of folks. Another little helpful hint, if a woman has had multiple vaginal delivery's, no matter what she's like in stature automatically start with a 20 F. Vaginal child bearing is not kind to a woman's body at all. Things can only be stretched so far and so many times until they will no longer go back to the original size, a urethra is absolutely no exception to this stretching out process, which consequently enough is why most women who have vaginal births eventually develop urine incontinence issues. Most can start off handling a 20 without any difficulty at all, but on the off chance she can't, then move down to an 18.

For the play docs out there, if you are going to play with catheters, since you are not medical professionals you should take every chance you can to do things as close to sterile and perfect as you can, to keep YOU and your patient safe. So if you plan on cath play, the cath kits are your best bet probably, then follow the instructions accordingly.

Now, let me let you in on another thing on the list of "things medical professionals won't tell you." Most facilities never use cath kits. Cath kits if you are lucky can start out at the 7 to 10 dollar range, usually they are about 15 bucks a pop. When we have to cath you we get a single catheter, a packet of lube and a collection cup if we are sending it to the lab, which the lab provides as part of their services, and if it's going to be an indwelling catheter the we will not bring the cup, but we will bring, a drainage bag, and a few syringes filled with sterile water to fill the balloon with, and a few "sani-wipes". That's it. Breaking it down into a manageable price reference here's the bottom line. Now keep in mind, we are a corporation and buy in bulk so we are going to get a cheaper rate.

Box of 30 catheters = 6 bucks so each catheter is 20 cents

Box of surgi-lube, we have to buy a case at a time,=10 bucks. 12 boxes in each case, 250 packs in each box, making 3000 lube packets which means .03 cents each

Box of Sani-wipes, again, bought by the case,=10 bucks. 10 boxes in a case, 200 in a box making 2,000 sani-wipes, so they are 2 cents each, we use three to cath someone making the cost 6 cents

We no longer have to use sterile gloves either according to the CDC, I can't tell you the price of gloves, but as many as we buy, they are dirt cheap, I use two pairs, I would say max price for both pairs of gloves is 10 cents

A box of regular Foley drain bags, 50 in a case =20 bucks. One is used so cost would be 40 cents each.

A box of leg bags, 50 to a box = 14 dollars. One is used so cost would be, rounding up about 28 cents each.

Boxes of syringes are dirt cheap too, I have no idea on their price, but I would be close in the ball park to say 10 cents each and I use 2 of them usually, costing a total of 20 cents

So the cost of placing a catheter to obtain a urine sample without using a cath kit is..

1) 1 catheter=20 cents

2) 1 surgilube pack=3 cents

3) 3 sani-wipes=6 cents

4) 1 lab cup=free

5) 2 sets of gloves=10 cents

Grand total is a whopping 39 cents.

The cost of placing an indwelling catheter is.....

1) 1 catheter=20 cents

2) 1 surgilube pack=3 cents

3) 3 sani-wipes=6 cents

4) 1 leg bag=28 cents

5) 2 sets of gloves=10 cents

6) 1 regular Foley drain bag=40 cents

7) 2 syringes filled with sterile water==20 cents

so the grand total of placing an indwelling catheter is a whopping........$1.27

See why we don't use prepared cath kits? Yesterday I had to cath 7 people, all were to obtain a urine sample to be sent out for a UA C & S. Doing it our way I spent $2.73. Had I used a cath kit, I would have spent someplace between $70.00-$105.00, so I saved my company anyplace from $67.27- $102.27, just on one hall, (we have 3) on one shift, in one day, on one procedure. And because most licensed professionals have the skill of cath placement mastered, or should have we know how to be quick, as sterile/clean as possible, even without the fancy expensive cath kits. Most of you guys don't quite have that luxury just quite yet, and that's okay. You guys need to stay as safe as possible, and if that means every time you cath someone it's going to cost you 15 bucks a pop, no pun intended, then that's what you gotta do. And the sad fact is, and this is going to come off totally wrong and I know it will, but if we medical professionals happen to cause a patient a UTI from placing a cath, rarely anything ever even gets said because it happens and usually can't be avoided. But if a layman places a catheter and your "patient" develops a UTI, you could wind up in prison for all kinds of things like, oh, I don't know, practicing medicine without a license, which they would then turn around and try and get you into deeper crap because you admitting that you don't have a medical license could be grounds for getting you on a charge of purposeful intent to cause harm, and the list goes on. So, once again, play docs and nurses play safe, play smart, play clean.

I am going to stick my head out on a plate here and tell you all a story I probably shouldn't. But you all need to really understand the severity and possible dangers of the toys you play with in your med fet games. Never forget that they are real medical equipment, to be handled by medical professionals. (Public Service Announcement)

My story goes....I had an order to strait cath a man for a UA C&S because he was suddenly becoming confused, staggering, unsteady gait etc, classic signs and symptoms of a UTI in the elderly. Well, that facility, (not the one I am at now) had a policy that if a urine needed to be collected for a UA, the sample was to be collected via strait cath for everyone whether they were continent or not. This cut down on a lot of repeat urine collection having to be collected due to the patient not being clean enough or whatever and the sample was contaminated. So, getting them by strait cath pretty much avoided that from happening completely. The facility was charged to have them run even when they were contaminated. Private insurances and medicare/medicaid wouldn't pay for the second test, but the facility was charged and had to pay for it, so you can see where I'm going, it was cheaper to spend the extra 2 bucks to strait cath them and get a good sample than to pay the 80 bucks or however much they cost for a test that would have no results and be worth nothing.

Okay, so I have to cath this guy. Our company changed supply companies and the new company stocked us with plastic strait catheters. I had never seen them before. Well, I went to his room at 2 am told him I had to cath him and blah blah blah, he agreed. I did my thing as I have been doing it for 7 years at that time, probably placed well over 1500 of them, have never caused anyone a UTI, and I have and still haven't ever been uncessful, not trying to brag, but they call me the cath queen and the shot queen, lol.

So I followed protocol in preparing his penis. The plastic catheter looked like the others, but it was a bit on the stiff side, but it's all I had to use because that's what the company went to due to costs. Well I stuck the catheter inside, was advancing it slowly, evenly, and with constant pressure just as I have always done. I didn't hit any resistance, things were going great. Next thing I knew, and this was a split second later, there was blood everywhere. It was all over me, him, the floor. I rushed him 911. The hospital called back and said that the catheter went right through the wall of his urethra. He lost a lot of blood. The surgeon ended up placing a very very large catheter to basically keep constant pressure on it to stop it from bleeding, it's called tamponod I believe. They sent him back, bleeding had stopped, no UTI, but he either had a brain bleed, or stage brain cancer and only had a few months to live. He died a week later. He got up out of bed after turning off his alarm, fell and hit is head and basically died instantly.

You can bet you sweet tush I had called my lawyer at the cath incident, then again when he died, I wasn't there that day thank goodness. My company by the way made their new suppliers take back all the plastic caths and replace them with either silicone or rubber ones. This mans daughter is one of the top RN's in the ER in one of the major hospitals in our state's capitol. She asked me what happened, gingerly I told her the truth, she asked me what kind of cath I used, she flipped. She stormed to the DON's office then came back and hugged me. She told me it wasn't my fault and that he didn't die from me puncturing his urethra, had absolutely nothing to do with it, but as a nurse herself, she knew I had to be blaming myself, and I absolutely was. I know better now, but still. I am not sure what she said to my DON at the time, but all of those plastic catheters were gone in less than 14 hours and replaced with the good softer ones.

So folks listen, things happen, I don't care how many times you have done them, things still happen. And trust me, when they do it really sucks. Putting in catheters really can actually kill someone and absolutely can do a lot of damage if you don't have at least the basic knowledge of placing/inserting a catheter, basic knowledge of human anatomy, common sense, and basic first aid.

And last by not least, play safe, play smart, don't be an idiot, ask for help, information, instructions or guidance when needed, that way you can actually have a crap ton of safe and sane play.

Mashie

No, I mean urethral size... but it seems like mostly I have gone down to a 14fr with females more than males and vice versa with the 18fr on males more than females. I'm a nurse as well.

I only use Foley catheters and I never have a problem draining. An intermittent catheter may just be too short for you. You can get Foleys from Amazon pretty cheap. Good Luck

Use a male catheter as others have said. I actually long to be soft for a catheterisation sometime.. I find the stimulation so nice that I've never catheterised without an erection! Tips and advice welcome, hah!

Over the years, I have catheterized when erect, for me, it just takes longer because of the erection and not wanting to force it. So all things considered, it is really a pleasurable thing. Ditto when using sounds.

G.N.

I find it much easier to insert my catheters when erect, I feed it slowly, the sensation keeps my erection strong and the tube is easier to control for me. I use 22fr. or 24 fr. and I just go slow as I reach my prostate, allowing it to relax and let the tube pass. I do have to slide the cath all the way in to reach my bladder before inflating the balloon, I don't have much left over when hard like that.

I perfer to cath while erect but this tends to subside rather quickly when the catheter starts it's insertion.

I tend to be erect while inserting the longer path makes it more enjoyable. I'm always in the bladder before filling the balloon as I can see that i'm filling the bag.

I do find it to be uncomfortable when i get an erection hours after insertion. but that makes sense as the lube has worn off.

About 6 yrs ago, a Playdoctor gave me a good sounding while I had an erection.

It was a very erotic experience and totally painless.

On a previous occasion, he had tried to insert a catheter in me while flaccid and I screamed the clinic down and the proceedure was aborted.

Is there any Medical reason why I was able to be scoped when erect and couldn't bear it flaccid?

To doctorprg: with the information provided, it's hard to say why the difference. Sometimes lidocaine gel (UroJet) is used which will numb and lubricate the urethra, other times sterile KY gel will be used which just lubricates the urethra. It could have been a different size catheter or a different material (latex coated with silicone or Teflon, 100% silicone, or PVC, among others). Some less expensive catheters don't have the eyes polished which can make a big difference.

I have used sounds for many years and my favorite is the rose bud. Most of the time I am semi erect, but after administering some lube in my urethra, I am very erect. I then insert the sound very slowly which seems to be fine.

Interesting discussion and info in this old thread.

I have never been able to insert a catheter when I wasn't erect. I haven't had the opportunity, as just the thought of being cathed gets things moving somto speak. I have had both red rubber straight caths and foleys used on me and always got a urine return. The foleys always require insertion up to the bifurcation when I'm erect however.

Its easier to insert when erect, I have have actual experiences cathing while erect.