I have difficulty in cathing as my ostomy in umbilicus is very hard and the opening small. I use a #14 coute, and its curve and hard tip are very good. However, I still at times have difficulty as the tip of the cath bends. I also use straight caths sometimes as the coutes don't work. Any suggestions?
Posted: 07 Feb 2011 10:44 AM Originally Posted: 07 Feb 2011 10:43 AM
It would be best to have your stoma re-assessed by your surgeon who performed the procedure and a WOC nurse as you are using the proper equipment a #14 French Coude tip catheter or a #14 French straight catheter. The hard area around your stoma maybe scar tissue which your surgeon could break up or soften by dilating your stoma.
Best way to avoid difficult catheterrization is to relax all abdomen muscles as much as possible. Typically, if you try in a lying down position it will be much easier to relax the stomach muscles. If that is not possible, use a chair and relax as much as possible. I have known people use even a 26gauge Folley straight or coude.
I myself has had difficult catherization at times but unfortunately I have no medical degree to honestly suggest anything on this subject. Please treat the above statements as such. Hope this helps.
Posted: 11 Feb 2011 11:34 AM Originally Posted: 11 Feb 2011 11:31 AM