Bladder irrigation is a procedure used to wash out your bladder. It includes irrigation with saline to keep the urine draining freely through the catheter and to keep the catheter from getting plugged. During the process of healing, it may be necessary to irrigate the bladder five times a day, but eventually will need to be done only once a day.
Supplies for a bladder wash procedure include a 60 cc catheter-tipped syringe, a container for liquid, saline and a catheter plug. Bladder wash procedure begins with pouring saline into the container with washed hands. About 50 cc of saline is to be poured into the syringe. This amount may vary for each person. Attach the syringe to the catheter and gently push the saline into the bladder without applying much force. One filled with fluid, remove the saline by pulling back on the syringe gently. Ensure to not pull back a volume higher than what was pushed in. If the saline is mucous filled, continue to irrigate the bladder until most of the mucous is cleared out. Allow the bladder to drain out into the toilet. Once done, the syringe can be removed. If one experiences any pain during the bladder wash procedure, bladder irrigation should be stopped immediately. This bladder wash procedure is recommended for only patients who have a urinary diversion and need bladder irrigation.
Once comfortable after learning self-irrigation, one could be discharged and continue the bladder wash procedure at home. A set of instructions and a schedule for doing the bladder irrigation will be given on discharge. Patients who have undergone bladder surgery should do bladder irrigation at least once daily for the rest of their lives. Practicing good genital hygiene should be given special care in such scenarios.
Possible problems that can occur being unable to irrigate through the catheter. In such a scenario make sure to not force it. Instead change the catheter and try again. If one experiences their urine to be cloudy, smelly, stinging, burning or bloody, it could be a sign of infection and should immediately be shown to a doctor or a nurse. In instances of being unable to carry out this procedure by oneself or in case of failure to manage complications associated with a bladder irrigation procedure, external assistance of a trained personnel is helpful.
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