Bladder Instillations

A bladder instillation is a type of treatment that involves filling the bladder with a solution that consists of saline and medications. Bladder instillations can help several different types of bladder concerns by delivering medications directly to the bladder, preventing the need for unnecessary medications to go through the rest of the body.

At Center for Advanced Gyn & Urogynecology, located in Chevy Chase and Germantown, MD, we offer expert bladder instillation treatment options to help improve bladder health and quality of life for our patients.

Bladder instillations for interstitial cystitis:

Interstitial cystitis (IC) often causes symptoms such as bladder/pelvic pain and discomfort, urinary urgency, and the feeling of having a UTI without actually having one.
What medications are going to be used for IC bladder instillations?

  • Lidocaine 1% – lidocaine numbs the nerves within the bladder that cause bladder pain and discomfort
  • Heparin – Heparin will create a bladder coating effect to prevent the bladder walls from becoming irritated
  • Sodium Bicarbonate – Sodium Bicarbonate helps the lidocaine and heparin get better absorbed by the bladder


Bladder instillations for recurrent UTIs:

Recurrent UTIs can be a massive problem that can be attributed to multiple factors. Bladder instillations for recurrent UTIs work by injecting an antibiotic directly into the bladder to prevent infections from taking root. This treatment is also perfect for patients who have concerns about taking antibiotics unless absolutely necessary as the antibiotic will not spread or cycle through the body.

Bladder Instillation Process:

  1. You will be asked to use the restroom to empty your bladder.
  2. A cleaning solution will be used to clean your urethral opening.
  3. A numbing gel will be inserted into the urethra.
  4. A thin catheter will be inserted into your bladder. This feels like a small pressure sensation and is not painful for most patients.
  5. Your bladder will be drained of any remaining urine.
  6. Fluid containing the medications as outlined above and saline will be inserted into your bladder through the catheter.

After the procedure:

To ensure that the medications are absorbed properly by the bladder walls, patients should avoid emptying their bladder for 90 minutes following the procedure. Some minor discomfort after the procedure is normal from the catheter placement. This should pass soon after leaving the office. If this discomfort persists or if you develop any symptoms of burning with urination, urinary frequency, or urinary urgency, please give our office a call.

Don't let bladder symptoms hold you back.

Schedule a consultation with our specialists to explore bladder instillation treatment options tailored to your needs.