I was reading through some procedures about Foley catheter insertion and it tells me that for male patients I should insert it all the way up to the bifurcation to make sure that it is in the bladder. The next steps are inflating the balloon and then securing the catheter. It seems like this is missing the step where I should gently pull the inflated catheter back until I feel a little resistance at the bladder sphincter. Am I correct that this should be performed and the procedures I'm reading are just missing the step? Or is it common practice to leave it inserted all the way to the bifurcation before securing it?
You're correct. Our policies instruct us to gently pull back on the catheter after inflating the balloon until slight resistance is met.
I treat peds (well adolescents is probably a better term). I go two inches beyond when urine is first noted. But yes, in a male you have to go "too far" and then pull back after inflating the balloon.
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