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Bladder instillation

bladder instillation · intravesical therapy · bladder wash with medicine · medicine into the bladder

The doctor puts medicine straight into the bladder through a thin catheter. It works on the bladder wall from the inside.

For chronic bladder inflammation, some types of bladder pain, and to prevent recurrence after treatment of bladder tumors.

⏱ Duration: the procedure usually takes 10 to 15 minutes; the medicine stays in the bladder for 30 minutes to 2 hours, as your doctor says

Be sure to tell your doctor

How to prepare

  • Drinking. You are usually asked to drink less for a few hours before, so the medicine stays in longer. Check with the clinic.
  • Bladder. Pee before the procedure.
  • Course. It is usually a course of several sessions. Check the schedule.

What to bring

  • Your referral
  • Your ID
  • A pad or spare underwear

How it goes

  1. You pee and lie on your back on the couch
  2. The genital area is cleaned with antiseptic
  3. A numbing gel is put into the urethra
  4. A thin catheter is inserted
  5. The medicine is poured in through the catheter
  6. The catheter is removed, and the medicine stays in the bladder for the time your doctor says

What you'll feel

  • An unpleasant feeling as the catheter goes in
  • An urge to pee while the medicine is in
  • Mild burning after the procedure

Afterwards

  • Pee when your doctor allows
  • After that, drink more water, unless your doctor says otherwise
  • Burning and frequent urges on the first day can happen
  • Some medicines need special hygiene afterward. Your doctor will explain

Contact a doctor straight away if

  • A fever over 38°C (100.4°F) or chills
  • You cannot pee
  • A lot of blood in your urine

Common questions

Does it hurt?

Usually not. The catheter is thin, and a numbing gel is used. It can be unpleasant.

How many sessions are needed?

Usually a course of several. Your doctor will decide how many.