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.
It's strange to feel the pull-back. It have to be done gently.
Wow, I was never taught to insert the foley all the way to the bifurcation. That seems a bit far and uncomfortable for patients.
Its not uncomfortable. I had many insertions ,and never felt uncomfortable or pain while the cath pushed in me all the way. I think it's much more problematic if you dont push it far enough.
Can you guys post a link or a picture of your foley insertion step-by-step? We are only taught to go until urine flow and for men, to insert just an inch or two after.
Push it all the way to the balloon port (Y) if you want to make sure its in the right place.
Must Read Topics