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Help! Toddler may have had bad retraction?/foley catheter/pain when urinating  

post #1 of 7
Thread Starter 
I had originally posted a similar post in the toddler section.

Five days ago, we brought DS to ER, with a very high, spiking fever. He was immediately put on an IV, had a chest xray, and they did a catheter. I didn't know to say "don't retract his foreskin", I unfortunately assumed the two health care professionals understood what they were doing.

Fortunately, the fever was due to roseola, as we later learned from a telltale rash and clear blood/urine samples.

Unfortunately, my DS has been suffering since. He is having very painful urinations, and I am worried is starting to withhold urinating. We've begun to give him tylenol hoping to combat that aspect. At first, our pediatrician said "well, there could be a little abrasion, due to the foley catheter"...yet, it seems to be getting worse, not better.

So, I think some damage was done to the foreskin/penis due to retraction. I'm looking for some info on a.) how to combat this damage and make him more comfortable, safe from infection, etc. and b.) info on how i might know if this is what happened.

I'd really appreciate any good info...it is so difficult to see a little one in pain.

Thanks, beth
post #2 of 7
I would get some sitz have your ds sit in a sitz bath -get him to pee in warm water -i wonder if it would be any of use to use those pain relief spray I used on me during an epistomy i can't remeber what it was called
post #3 of 7
Cathiters can be very irritating for some people. Did you watch them do the cath? I am assuming no since you dont know if they retracted him or not.

The only thing you can do right now is let him sit in clear water. It will sooth the area. If it lookes red and irritated then you can go get some otc bacatracin to put on it. It is antibacterial and will help if there were any germs introduced. Just put it on the OUTSIDE of the penis from base to tip and do that every other diaper change or so.

It truly sucks that we cannot trust health care workers with the intact penis. it drives me nuts. This is why it is so important to tell them not to do it at every single visit no matter how many times you have seen that healthcare worker.
post #4 of 7
Thread Starter 
Should I be concerned about adhesion, infection, etc.

We are also trying to look closely for UTI, etc.

I wasn't watching hte foley. I was advised not to, and was told to comfort our DS, hold him, look at him, sing to him.

Unfortunately, I put my trust in the professionals, and now feel like our son/family have been violated.

I am sure htis has happened to many people
post #5 of 7
s to you and your little guy! You are right, this does happen often....way too often. Here is a link to a pamphlet that explains how to care for/heal a forced retraction.
http://www.nocirc.org/publish/6pam.pdf

Good luck to you!
Tara
post #6 of 7
The catheter itself can be very irritating! I wouldn't say this necessarily means he was retracted. What's the appearance of his foreskin?

And sadly no, you really can't trust any HCP to know what to do (or not do) with a foreskin.
post #7 of 7
I agree that some topical antibacterial/anesthetic might help him a little bit, but be sparing with it. You don't want to kill off the GOOD bacteria! And tbh a frozen weenie can't be much fun, even if it hurts!

I would guess that wether they retracted or NOT, it is irritated by the catheter. The worst part? They don't even NEED to use it! In those situations, diapers are fine. If they need to test for hydration they can do that in other ways. I'm so sorry mama. I would also keep something cool on his penis, a clean cool wet cloth from time to time might feel good. Def. keep your eye open for a UTI - those are very common after catheters. I hope he's feeling better very soon!!! andy
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