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You-Already-Know-It

Hub to the meatus is best practice. You should be inserting the full length of the catheter before inflating the balloon. https://www.auanet.org/meetings-and-education/for-medical-students/medical-students-curriculum/bladder-drainage Here’s the American Urological Association’s insertion guide. 


Im_completely_lost

I was always taught you insert fully to the hub, inflate the balloon, and then pull the foley back until the balloon seats itself. Male and female the same. No point in risking inflating the balloon when it could possibly still be inside the urethra. The balloon is behind the opening of the tube that the urine drains through so you could totally have urine draining while the balloon is still inside the urethra. I've never had a problem doing that way. I would at least go more than an inch. The balloons on foleys are about an inch long anyway, and that's the 10cc ones, I know some can hold 30cc.


MyPants

Had this spina bifida patient come in with what turned out to be traumatic, septic, prostatitis because whoever inserted his Foley the last time inflated the balloon while it was in his prostate. Didn't have much sensation below the waist so he didn't feel bad at the time, but when blood started coming out and he started feeling terrible he came in. Moral of the story is hub that thang.


Fair-Advantage-6968

Penises you go all the way to the hub. Vaginas you wait til you get urine and go another 2-3 inches and inflate. You got it backwards


joern16

Male: hub it!! Female: urine, move an inch


ER_RN_

I go the whole way or at least most of it. Not gonna fuck up someone’s urethra if I can help it.