Benign Bladder Instillations
This service provides medications into the bladder through an intermittent catheter to help treat patients with recurrent urinary tract infections (UTI’s), bladder pain syndrome, ketamine induced cystitis and radiation induced cystitis. Men and women over the age of 18 years attend clinic and follow a prescribed treatment regime as per the local guideline. The nurses also assess if the treatment is working well, and refer back to the consultant if and when necessary.
Continence
There are a range of treatments to help improve urinary continence in men and women including indwelling urethral and supra-pubic catheters, intermittent self-catheterisation, urinary sheaths and drainage systems, pads, medication and surgery. There is a Nurse-Led Trial without Catheter (TWOC) clinic where a nurse removes an indwelling catheter (often previously inserted due to acute urinary retention) and checks if the patient can void urine safely once it is removed before they go home.
Patients who need complex care of long term urethral and supra-pubic catheters have their changes done in clinic if they cannot be managed in the community. Some patients who are unable to fully empty their bladder can be taught Intermittent Self Catheterisation (ISC) to help reduce continence and recurrent UTI’s and are phoned up for further support weeks later.
There is also a specialised clinic where men and women are seen pre and post-operatively for Sacral Nerve Stimulation treatment and counselling, and support can be given with pelvic floor exercise teaching.