51700 Bladder irrigation, simple, lavage and/or instillation

Name of the Procedure:

Bladder Irrigation, Simple, Lavage and/or Instillation

Summary

Bladder irrigation, also known as bladder lavage or instillation, involves washing out the bladder with a sterile fluid. This procedure can help clear the bladder of debris, blood clots, or mucus, and may also involve the instillation of medication.

Purpose

Bladder irrigation addresses conditions like urinary tract infections, bladder inflammation, or after certain bladder surgeries. The goal is to ensure the bladder remains clean and free of obstructions, reducing discomfort and aiding in more efficient bladder function.

Indications

• Presence of blood clots, debris, or mucus in the bladder
• Symptoms of urinary tract or bladder infections
• Post-surgical maintenance to prevent clots or maintain catheter function
• Instillation of medications for treatment of bladder conditions

Preparation

• No special fasting or dietary restrictions are typically required.
• Patients may be asked to provide a urine sample before the procedure.
• Inform the healthcare provider of any current medications and allergies.

Procedure Description

1. The patient will lie down on an examination table.
2. A sterile catheter is inserted into the urethra and advanced into the bladder.
3. Sterile irrigation solution is introduced into the bladder through the catheter.
4. The solution may be allowed to dwell in the bladder briefly before being drained out, carrying debris or clots with it.
5. If medication instillation is needed, it is introduced similarly and often left in the bladder for a prescribed period.

Tools and equipment used include a urinary catheter, sterile irrigation fluid, and sometimes a syringe for instillation. Local anesthesia may be applied to minimize discomfort during catheter insertion.

Duration

The procedure typically takes about 15-30 minutes.

Setting

Bladder irrigation is performed in a clinical setting, such as a hospital, outpatient clinic, or urology office.

Personnel

• A urologist or trained nurse typically performs the procedure.

Risks and Complications

• Common Risks: Mild discomfort, urinary urgency, minor bleeding
• Rare Complications: Infection, bladder perforation, significant bleeding

Benefits

• Immediate clearing of blood clots, mucus, or debris
• Alleviation of discomfort associated with urinary blockages
• Effective delivery of medications to the bladder

Recovery

• Patients can usually resume normal activities immediately.
• Increase fluid intake to help flush the bladder and aid in recovery.
• Follow any specific instructions given by the healthcare provider, such as avoiding strenuous activities for a short period.
• Schedule any recommended follow-up appointments.

Alternatives

• Medications alone without irrigation
• Catheter-based maintenance procedures
• Each alternative has its pros and cons, such as varying levels of effectiveness and potential side effects.

Patient Experience

• During the procedure, patients may feel mild discomfort or a sensation of fullness in the bladder.
• Post-procedure, there may be mild burning during urination, which typically resolves quickly.
• Pain management and comfort measures, such as over-the-counter pain relievers, can be discussed with the healthcare provider.