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ALWAYS USE LIDOCAINE JELLY! Gentle stretch actually allows for the urethra to open and makes it easier for a foley catheter to go in and is ultimatelY LESS PAINFUL FOR THE PATIENT. Inserting lidocaine jelly directly into the meatus, helps open the urethra too. Let the lidocaine jelly sit for some time! With proper communication, patients do not mind gentle stretch. Sometimes in an uncircumcised patient, there can be a lot of edema (or swelling) in the foreskin from chronic sitting or heart disea
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