h. Insert a catheter in a male. Catheterization of a male differs from a female
primarily in positioning and cleansing. The tray and equipment are the same. The
principles of aseptic technique must be maintained. The preparation of materials to be
taken to the patient's bedside are the same. Follow the steps listed in paragraph 4-5a
through c with these exceptions: place the patient in a supine position with his legs
extended and place a moisture-proof pad across his upper thighs. See figure 4-3.
Then follow this procedure.
(1) Pick up the catheter with your dominant hand about three inches from
the tip. With your last three fingers, hold the distal end of the catheter in the palm of
Lubricate the tip of the catheter.
(3) Draw the penis upward and forward at a 60 to 90 degree angle to the
Have the patient breathe through his mouth.
(5) Insert the tip of the catheter into the urethra. Grasp the catheter and
gently insert seven to eight inches or until resistance is met.
Gently advance the catheter until urine flows.
(7) Lower the penis and hold the catheter securely with your non-dominant
hand. Rest your hand on the patient's pubis for support.
Place the other end of the catheter in the collection basin.
Figure 4-3. Male catheterization.