Catheter use in an exam - question for play docs

When during an exam on a male would you consider inserting a catheter for a sterile urine sample? I am specifically referring to an in-and-out catheterization, not an indwelling foley. I know how to cath someone, just curious where in the sequence to perform it. Before the genital exam, after the genital exam? It would be with a new patient, so I don't want to do it right up front.

Thanks for your advice!

demure

Build it. After the patient is stripped to his underwear, pull a table up next to him, drape a towel over it - and begin to lay out all of the items you will be using during the genital and rectal part of the exam. Once you have everything laid out, go to the sink and purposefully fill an enema bag and hang it on a stand - and finally - lay out the catheter in it's sterile wrap…. next to a small individual packet of Surgilube. When all that is complete, ask him to remove his undershorts and begin the exam. HIs penis will either be totally shriveled or becoming erect. Fear and apprehension cause erections quite often. Perform the genital exam and then do the sterile urine sample. Mention that his urethra appears to be somewhat narrowed - and spend some time sounding his penis with larger and larger rods to dilate his urethra. After that, give the patient several enemas to prep him for the rectal and prostate exam.

Very erotic thoughts here as it builds up!!

Too much risk of a UTI. Don't get into that liability.

Instead have the patient swab their urethra opening with a sterile wipe and pee into a sterile cup. That's how it would be done at a lab.

I fully realize you are talking about play. But a UTI is nothing to play with.

Geeze, Quincy, there isn't THAT much risk.

Strait cathing is actually pretty low risk if done right. Much lower risk than an indwelling cath. There are videos online that demonstrate how to do this correctly. There are also step by step directions in just about every nursing textbook. Read up, or better yet if you have any friends who are nurses have them show you.

Doc

As Docinny45 said :

Strait cathing is actually pretty low risk if done right. Much lower risk than an indwelling cath.

Providing that you follow Asepsis during it insertion .

The real risk is about individuals performing the procedure that are unfamiliar with it as you can cause sever trauma to the urethra ( especially in males) as well as to the bladder sphincter which can result in permanent injury . As with all procedures effective training and adhering to protocols minimize the risk but do not totally take it away.

It would also be advisable to have the play patient drink lots of fluids and drink some cranberry juice ( before and after ) the procedure and advise them to be observant for signs of a UTI . These include:

- A burning feeling when you urinate

- A frequent or intense urge to urinate, even though little comes out when you do

- Pain or pressure in your back or lower abdomen

- Cloudy, dark, bloody, or strange-smelling urine

- Feeling tired or shaky

- Fever or chills (a sign the infection may have reached your kidneys)

As a patient I would be to shy to pee into a cup held by a doc. so to take a urin-sample, the doc needs to cath me. it depends on how realistic the examination should be. in a realystic setting the urin sample would be taken at the beginning of the genitals examination when the patient is more relaxed. in a more kinky setting, the catherization would be when the patient is really horny. inserting the catheter will give the patient a lot more sexual arousal.

I think the best thing to observe here is if you are not fully conversant with all the necessary protocols then leave well alone..........Do no harm!

I've a very shy bladder. Even when in a proper locked toilet. So yup, if a sample would be desired, they would have to cath me.

Never done it myself, but I've been curious about it for quite a while.

Would definitely want to try that out during a play exam.