Urinary Catheterization Pain – Cut in 1/2 by Attempted Voiding While Implementing

Always feel sorry for male patient being catheterized. Now brilliantly simple maneuver can cut pain in 1/2.

Urology. 2017 Apr;102:21-25. doi: 10.1016/j.urology.2016.09.069.
Pain Associated With Urethral Catheterization Is Reduced in Males by Simultaneous
Voiding Maneuver.
Stav K
https://www.ncbi.nlm.nih.gov/pubmed/27871828

  • previously patients were told to breath or cough while instillation.
  • lidocaine gel works poorly, and liquid paraffin proved better:
    Neurourol Urodyn. 2015 Jun;34(5):450-3.
    Liquid paraffin is superior to 2% lidocaine gel in reducing urethral pain during urodynamic study in men: A pilot study.
    Stav K
    https://www.ncbi.nlm.nih.gov/pubmed/24610603
  • Instructing patient to void during catheterization works well:

Comment – brilliant!

 

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