2. Bladder instillations and urological surgery

Question 1

Indwelling urinary catheter management

Answer 1

• Chlorhexidine solution is used to manage common infections through irrigation. It is broad-spectrum but irritates mucosa
• Alternatively, sterile sodium chloride solution 0.9% is licesned to flush out debris, clots or tissue in catheters

Question 2

Bladder tumours

Answer 2

• Instillation of doxorubicin
• Instillation of mitomycin

Both are licensed for the treatment of superficial bladder tumours