j. Use the forceps to hold the cotton balls (figure 3-2). This will maintain the
sterility of one hand. Using the forceps, pick up one cotton ball and swab the center of
the meatus outward in a circular manner.
Figure 3-2. Cleansing the male meatus.
k. Continue outward, using a new cotton ball for each progressively larger circle.
Clean the entire glands. Deposit each cotton ball in the disposal bag. After the last
cotton ball is used, drop the forceps into the disposal bag as well.
l. Hold the penis at a 90-degree angle (figure 3-3). Advance the catheter into
the patient's urinary meatus. You may encounter resistance at the prostatic sphincter.
Pause and allow the sphincter to relax.
Lower the penis and continue to advance the catheter.
Figure 3-3. Positioning the penis at a 90-degree angle