Instillation of the bladder
One widely used species of localThe treatment in urology is instillation of the bladder. This procedure is used in the treatment of chronic cystitis, prostatitis, urethritis, leukoplakia, cancer.
During instillation, the medicinal product is poured inurethra or bladder through a special catheter. The advantage of local treatment is that the drug acts on a specific area of the body, and not the entire body. As a result, there is no side effect on the immune, nervous system, liver, kidneys, microflora.
The instillation of the bladder contributes toreaching a high concentration of the drug in its walls, and not in other organs. This increases the therapeutic effect. This procedure promotes rapid healing of the damaged mucosa.
In women, instillation of the bladder is usedwith chronic cystitis, when there is a mucosal disorder. Because sometimes even a long reception of antibiotics does not help to get rid of the pain and frequent desires.
To restore the mucosa usedSpecial drugs that relieve irritation and healing damage. Often the use of instillations for chronic cystitis reduces the need for antibiotics.
To do this, use bacteriophages, whichaffect bacteria, cause their death and are a means of combating pathogens. They exist against staphylococcus, protea, E. coli and other microorganisms.
Especially useful instillations in the defeatdeep layers of the mucosa, when antibiotics can not penetrate the thickness of the wall. Then use their conductors, for example dimexide. This drug has the ability to penetrate the thickness of the mucosa by conducting a dissolved antibiotic. It also has the ability to heal tissues and anesthetize.
In the treatment of chronic cystitis in womeninstillations 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 whenchronic 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 application of instillations promotes morerapid and qualitative treatment of infection, prevents relapses. So, for example, their use in the treatment of chlamydia accelerates the recovery by 2 times, when compared with therapy only immunostimulants and antibiotics.
With prostatitis, instillation is used in conjunction with prostate massage. This combination significantly reduces the time of therapy.
Women instillatsii held in the supine position or on a gynecological chair. The urethra is wide and short, so this procedure is painless and causes only slight unpleasant sensations.
Before instillation you need to urinate, and afterher refrain from urinating 2 hours. A disposable catheter is used for the procedure, which becomes soft when heated and has a smooth surface. Trauma of the urethra during instillation with a soft catheter is excluded.
The number of procedures is chosen by the doctor. It takes into account the characteristics of the disease and the effectiveness of the treatment.
In men, the technique of instillation is more difficult, since the length of the urethra is 18 cm and it is necessary to undergo its physiological bending and constriction. A soft catheter with a small diameter is also used.
However, today the opinions of specialists onThe application of instillations is ambiguous. Many of the 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, especially instillation by collargol, can have complications, and its effectiveness is doubtful. Some urologists try not to invade the urethra.
Thus, instillation of the bladderIt is used in the treatment of chronic cystitis, prostatitis, urethritis. However, recently the opinions of experts about the effectiveness and safety of these procedures differ.
