Lithotomy

Definition

Lithotomy is a position in which the patient lies supine with hips and knees flexed, legs abducted, and feet supported in stirrups. It provides optimal access to the perineum.

Common Uses

• Vaginal delivery
• Pelvic examinations and Pap smears
• Urinary tract procedures (cystoscopy)
• Rectal procedures
• Some gynecologic surgeries

Nursing Considerations

• Padding to prevent pressure on popliteal and peroneal nerves
• Raise and lower both legs together to avoid hip injury
• Do not leave patient in position longer than necessary (venous stasis, nerve injury)
• Provide privacy and warmth
• Monitor for hypotension when legs are lowered (large volumes of blood re-enter venous return)

NCLEX Relevance

Raise and lower legs together. Monitor for hypotension afterward.