Hey all! After telling my sons nursing supervisor that I do NOT want his foreskin retracted to cath him she insisted on writing that it be retracted to do his caths.. Does anybody have any pamplets or brochures online that I can print out to give to my sons nurses..
He has spina bifida and just recently started cathing every few hours.. He has nursing care 16 hours a day so the nurses will be doing this some.. Ive already told them I do not want it retracted but I want to give them the gory details about why not..
Ive printed this out so far:
Would my son's foreskin need to be retracted if he were catheterized for a urinalysis or medical treatment?
No. A catheter can be inserted when the foreskin is retracted just enough to see the meatus (urinary opening). if the foreskin's opening is too small to retract far enough to see the meatus, a catheter can be inserted through the foreskin's opening and into the meatus "by feel." The foreskin should never be retracted by force for any reason.
What happens if my son's foreskin is retracted by force?
Forced retraction of the foreskin causes pain and trauma because it rips the child's foreskin from his glans and/or tears his foreskin's opening. Creating raw surfaces on the foreskin and glans can cause the following problems:
Infection. There is now an opening through which bacteria can enter the body.
Adhesions. The two raw surfaces grow together as they heal, often requiring surgery to make foreskin retraction possible later.
Acquired Phimosis. The foreskin's narrow opening sometimes tears when the glans is forced through it, forming scar tissue that may prevent it from widening later on its own.
Paraphimosis. When a child's foreskin is retracted by force, its (narrow) opening may "get caught" behind his glans, and, like a tourniquet, trap blood in the glans and make it swell. Many physicians recommend circumcision to "correct" this, but the foreskin can be brought forward without cutting by holding the shaft of the penis and gently pushing the glans into the foreskin. If this doesn't work, squeezing the glans to reduce swelling should help slip it back inside the foreskin. If these techniques fail, putting ice on the glans or injecting the swollen foreskin with hyaluronidase usually allows the foreskin to be returned to its normal forward position.
He has spina bifida and just recently started cathing every few hours.. He has nursing care 16 hours a day so the nurses will be doing this some.. Ive already told them I do not want it retracted but I want to give them the gory details about why not..
Ive printed this out so far:
Would my son's foreskin need to be retracted if he were catheterized for a urinalysis or medical treatment?
No. A catheter can be inserted when the foreskin is retracted just enough to see the meatus (urinary opening). if the foreskin's opening is too small to retract far enough to see the meatus, a catheter can be inserted through the foreskin's opening and into the meatus "by feel." The foreskin should never be retracted by force for any reason.
What happens if my son's foreskin is retracted by force?
Forced retraction of the foreskin causes pain and trauma because it rips the child's foreskin from his glans and/or tears his foreskin's opening. Creating raw surfaces on the foreskin and glans can cause the following problems:
Infection. There is now an opening through which bacteria can enter the body.
Adhesions. The two raw surfaces grow together as they heal, often requiring surgery to make foreskin retraction possible later.
Acquired Phimosis. The foreskin's narrow opening sometimes tears when the glans is forced through it, forming scar tissue that may prevent it from widening later on its own.
Paraphimosis. When a child's foreskin is retracted by force, its (narrow) opening may "get caught" behind his glans, and, like a tourniquet, trap blood in the glans and make it swell. Many physicians recommend circumcision to "correct" this, but the foreskin can be brought forward without cutting by holding the shaft of the penis and gently pushing the glans into the foreskin. If this doesn't work, squeezing the glans to reduce swelling should help slip it back inside the foreskin. If these techniques fail, putting ice on the glans or injecting the swollen foreskin with hyaluronidase usually allows the foreskin to be returned to its normal forward position.
