Lidocaine (UroJect) for Male Foleys

I'm wondering what people's personal practices generally are regarding lidocaine prior to placing male Foleys.
Little different situation here: local cystoscopies where the surgeon inserts a foley at the end.We instill the gel directly into the urethra (males and females). For males, we place a rounded clamp around the shaft of the penis and let it sit for a minute or two. For females, we simply hold the urojet in place for a minute or two.However, in my daily practice in open heart surgery, I personally never use the lidocaine. My patients are under general anesthesia, the foley is well lubed with the gel in the foley kit. Considering that their sternum will have been split in half when they wake up, discomfort from the foley probably isn't even noticed.

I haven't heard of using lidocane for that, haven't done it, and haven't had any complaints or trouble with placing foleys. I haven't had many young patients though, and for them, lidocaine might be a good idea.

Need a doctors order for it. Only used in elderly men with huge prostates.

I've used it several times in the ED and, based on my personal experience, I think the patients with it seem to experience the same type of discomfort as the patients who don't get it (of course maybe the ones without out would have really freaked out). I inject it and let it sit for awhile as well use a significant amount to lubricate the catheter prior to inserting. As far as I know, we need a doctor's order - only one of our docs orders it (He's probably had a Foley before ).

Our hospital trialed this for males but we had an increase in CAUTI's so the trial didn't last long. Never had the pleasure of using the lidocaine during the trial though so I'm not sure what complications/barriers caused the increase in infections.

SATA??? jk.I don't usually use lido (in my limited experiencing cathing males- most of my caths have been females, even outside of OB nursing), but the couple of times I did, I put it into the urethra, waited a couple of minutes, and placed the cath.

I remember using it on a few males who had quadraparesis during intermittent caths; it seemed to work for them without any issues; I haven't had to use it on a female pt as of yet.

We don't even have it at my hospital. We can't even use lidocaine for IV starts, let alone for urinary caths.

Our policy states that we can use lidocaine but unless they have a huge prostate I don't use it. I do it quickly so they don't have time to think about it. Never had any complaints or yelling!

I usually ask for it....I try to let it sit as long as possible to ensure full anesthetic action. I have had many male patients be thankful.

the catheter packs I use have it as part of the process and I always use it

I've used it intermittently over the last 4 years. I've had two cases with A&O men who'd had a prior Foley who were very apprehensive and said it was a horrible experience. In both cases, using the lidocaine and then waiting for 20-30 min, the men said that they hardly felt it.There are a few published studies that find that it significantly reduces discomfort when placing foleys.