urinary catheterization

Hi, first year nursing student and I'm working on a project. I have a patient that has lower extremity contractures and I need to insert an indwelling catheter. How what I deal with the lower extremity contractures while cathing in order to stay sterile? Have someone hold the legs in the correct position?
Male or female? What are some ideas you've come up with?

Yes, first tell us what you have thought of so we can point you in the right direction.

Female, 90yoI was thinking having assistance with pulling her legs apart. Or turn her on side and put pillow between legs

Putting it in with them laying on their side is sometimes a good option.

I've also had them on their back and come up from under their legs, but you have to be more careful of your sterile field.

With bad contractures, I would try the side-lying position, particularly since it might be quite uncomfortable to have their legs held apart and the person helping is likely to end up in the way.

Quote from NurseOnAMotorcycleI've also had them on their back and come up from under their legs, but you have to be more careful of your sterile field.

I agree with others that the sidelying position is best with severe contractures. Easier to keep a sterile field and it's much more comfortable than trying to pry open legs.