After 42 years as a nurse and hundreds of Foleys inserted, this old dog learned a new trick. A hospice nurse colleague learned a new way to insert a Foley. Place the patient on her side (for me, that has to be her left side) in Sims' position. Locate the perineum and pull open the labia, and VOILA, there is the meatus!. Cleanse with betadine and insert the catheter. My elderly patients are grateful that I don't put them on their backs and try to pry open their legs. The technique came from a nurse from Africa, my success rate is 100%, the procedure is faster and, most importantly, the patient is much more comfortable.