One of the commonly used local treatments in urology is bladder instillation . This procedure is used in the treatment of chronic cystitis, prostatitis, urethritis, leukoplakia, and cancer.
During instillation, the drug is poured into the urethra or bladder through a special catheter. The advantage of local treatment is that the drug acts on a specific part of the body, and not on the whole body. As a result, there is no side effect on the immune, nervous system, liver, kidneys, microflora.
Bladder instillation helps to achieve a high concentration of the drug in its walls, and not in other organs. This increases the therapeutic effect. This procedure promotes the rapid healing of damaged mucous membranes.
In women, bladder instillation is used for chronic cystitis, when there is a violation of the mucous membrane. Since sometimes even prolonged use of antibiotics does not help get rid of pain and frequent urges.
To restore the mucous membrane, special drugs are used that relieve irritation and heal damage. Often the use of instillations for chronic cystitis reduces the need for antibiotics.
For this, bacteriophages are used that infect bacteria, cause their death and are a means of combating pathogens. They exist against staphylococcus, protea, Escherichia coli and other microorganisms.
Especially useful are instillations in lesions of the deep layers of the mucosa, when antibiotics cannot penetrate the wall. Then their conductors are used, for example, dimexide. This drug has the ability to penetrate the thickness of the mucosa by conducting a dissolved antibiotic there. It also has the ability to heal tissue and anesthetize.
In the treatment of chronic cystitis in women, instillations are widely used. This contributes to the onset of rapid recovery, reduces the need for antibiotics and the burden on the body due to their use.
In men, urethral instillation is used for chronic prostatitis and urethritis. For procedures, both solutions and emulsions are used, which are retained for a long time on the mucosa and create a high concentration of the drug.
The use of instillations contributes to a faster and better cure of the infection, prevents relapses. For example, their use in the treatment of chlamydia accelerates recovery by 2 times, when compared with therapy only with immunostimulants and antibiotics.
With prostatitis, instillations are used in conjunction with prostate massage. This combination significantly reduces the time of therapy.
Women are instilled in a lying position or on a gynecological chair. Their urethra is wide and short, so this procedure is painless and causes only slight discomfort.
Before instillation, you need to urinate, and after it, refrain from urinating for 2 hours. A one-time catheter is used for the procedure, which becomes soft when heated and has a smooth surface. Urethral trauma during instillation with a soft catheter is excluded.
The number of procedures is selected by the doctor. It takes into account the characteristics of the disease and the effectiveness of the treatment.
In men, the instillation technique is more complicated, since the length of the urethra is 18 cm and it is necessary to undergo its physiological bending and narrowing. A soft catheter of small diameter is also used.
However, today the opinions of experts regarding the use of instillations are mixed. Many urologists believe that modern antibiotics can effectively treat diseases of the genitourinary system without them. In addition, some experts are of the opinion that this procedure, and especially instillation with collargol, can have complications, and its effectiveness is doubtful. Some urologists tend not to invasion of the urethra.
Thus, bladder instillation is used in the treatment of chronic cystitis, prostatitis, urethritis. Recently, however, experts have disagreed about the effectiveness and safety of these procedures.