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Experience relief from chronic bladder pain or interstitial cystitis with our specialized bladder instillation treatments designed to soothe the bladder and alleviate symptoms.
A bladder instillation is a treatment where liquid medications are directly placed into your bladder through a thin tube called a catheter. This treatment is used to relieve symptoms from interstitial cystitis, chronic bladder pain, or bladder inflammation. The medications can soothe the bladder lining, reduce inflammation, and help resolve bladder pain. Common solutions used in bladder instillation treatment include anesthetics (lidocaine and bupivacaine), steroids (Methylprednisolone acetate or triamcinolone), and heparin which work to relieve symptoms by calming the bladder nerves and reducing inflammation. Rarely, medications such as dimethyl sulfoxide are used.
Bladder instillations might be performed for the following reasons:
A bladder instillation might be recommended if:
Bladder instillations are generally safe, but like any medical procedure, they can have risks. The risks can include temporary bladder irritation, infection, or discomfort during the procedure. Your provider will discuss these potential risks with you and ensure that you are comfortable throughout the treatment.
During a bladder instillation treatment, your provider will insert a small catheter into your bladder to deliver the medication directly where it is needed. This is done to help relax the bladder muscles and increase bladder capacity, making it effective for managing bladder pain syndrome. The procedure is usually quick and performed in a comfortable setting. Numbing medicine is often placed into the urethra (the tube between your bladder and the outside) before the instillation to decrease any potential discomfort.
You might feel some pressure or mild discomfort during the procedure, but this should pass quickly. The total amount of fluid installed is usually equal to ⅓ of a can of soda or just over 3 ounces. You will then be instructed to hold the fluid in for at least 30 minutes before urinating. After the instillation, you will be able to go about your day with minimal restrictions.
The Center for Advanced Gynecology, established in 2018, is dedicated to improving your health by offering expertise in various areas, with a specific focus on gynecological care and advanced surgical techniques when surgery is needed. Our team provides specialized expertise in non-surgical treatment of chronic pelvic pain, painful intercourse, pudendal neuralgia, and vaginal, vulvar, and bladder pain. Since opening our doors, we have recognized the need in our community for more than just specialty care and have a growing practice in routine gynecologic care, cancer screening, Pap smears, menopausal management, hormonal imbalances, hormone replacement therapy, breast care, contraceptive care, urinary incontinence, and pelvic organ prolapse.
How long does a bladder instillation take?
The procedure typically takes about 20 to 30 minutes, allowing you to return to your normal activities soon after.
How often will I need bladder instillations?
Your provider will recommend a treatment schedule based on your specific condition, needs, and response a bladder instillation. Some patients only need one treatment, while others will undergo treatments every week for three to six weeks to achieve the best results. Patients that have relief will sometimes return for an instillation when symptoms flair and don’t respond to home medications.
Will the bladder instillation be painful?
Most people experience only mild discomfort during the procedure. Your provider will ensure you are comfortable throughout the process.
What should I do after a bladder instillation?
You will be asked to hold in the fluid for at least 30 minutes after instillation. After this, instructions will vary depending on what medications are used in the instillation. Generally, however, there are no specific restrictions and you can resume normal activities.
Are there any side effects?
Some people experience temporary bladder irritation or discomfort. If you have any concerns, your provider will be available to address them.
Is bladder instillation right for me?
If you suffer from chronic bladder issues or interstitial cystitis, bladder instillation might be a treatment option. Your provider will help determine if it's the best option for relieving pain and managing your symptoms.