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Intravesical therapy

Intravesical

Pronunciation: in  tra ves I kal

Definition: Within a bladder, especially the urinary bladder.

Intravesical Treatments include

Botox

For Men and Women suffering from the embarrassing and distressing condition of an overactive bladder the bladder muscle often contract at the wrong time, causing a desperate urge to pass urine. Often resulting in urinary incontinence or the inconvenience of having to visit the toilet frequently day and night. Botox injections work by reducing these bladder contractions. When simple bladder exercises and medication have not had the desired effect Botox injections may prove to be an effective alternative in helping alleviate the symptoms or even resolve the symptoms all together.

To find out more about Botox

See how Botox is administered

 

Urodynamic studies

This test is normally performed  to establish the best course of treatment for patients with urinary urgency, frequency, incomplete bladder emptying or incontinence.

Urodynamic is carried out to establish the function and pressure in the bladder as well as measuring the flow of urine through the urethra (the pipe which urine is passed out of the body). Urodynamics provides extremely important information on how much urine the bladder can hold ,highlight overactivity of the bladder the strength of the bladder and if there is any obstruction.

The procedure and what to expect:

This procedure involves a catheter being placed into the bladder through the urethra. This is to allow for the bladder to be filled during the procedure Another small catheter containing a pressure monitoring probe will be placed in the rectum(anus). The pressure monitor probe will be connected to a computer to record and measure the pressure of the bladder

Once the catheters are in place and the bladder has been emptied, you will be asked to lie flat  on a table while your bladder is slowly  filled with sterile water. The pressure in the bladder will monitored during this filling phase. You will be asked to cough  to see if urine leaks . The table will then be raised to an upright position while the bladder is still being filled This is part of the test as pressure in the bladder will differ between lying flat and standing upright. Once you are full or feel like you have to urinate, you will be asked to empty your bladder the volume of urine voided is recorded  and  the test is completed.

The test takes 30-45 minutes. At the end of the test, the catheters will be removed and you will be given antibiotics for a few days.

Cystoscopy

This test involves visual examination of the inside of the bladder with a miniature fiber optic camera, which is passed through the urethra into the bladder. This is a minimally invasive procedure usually performed as a day case procedure under sedation or a general anesthetic enabling a detailed visual inspection to be performed without causing discomfort.

Visually inspecting the inside of the bladder can determine many causes of bladder problems, including bladder stones, tumors, endometriosis, or interstitial cystitis. It also allows us to determine the capacity of the bladder.