Results 1 to 7 of 7

Thread: white kind of water for bladdar irrigations?

  1. #1
    Senior Member
    Join Date
    Jun 2004
    Location
    Indpls, IN USA
    Posts
    157

    white kind of water for bladdar irrigations?

    (WHAT kind )
    my urologist told me to have bladder irrigations done using a 10% solution ? 10 cc vinegar to 100 cc of sterile water. the pharmacy filled the script w/sodium chloride .09 . isn't this saline?
    "courage is fear that has said its prayers"

  2. #2
    Senior Member ChesBay's Avatar
    Join Date
    Nov 2001
    Location
    Coastal Virginia
    Posts
    1,429
    Quote Originally Posted by jennypenny View Post
    (WHAT kind )
    pharmacy filled the script w/sodium chloride .09 . isn't this saline?
    This is what my urologist prescribed and what I have been irrigating with for years.

  3. #3
    Do you know why your doctor wants you to irrigate your bladder? Sterile water, saline, and acetic acid may be good for flushing out sediment that is clogging the catheter. They are not considered appropriate to prevent or treat urinary tract infections.

    I assume your doctor wrote a script for sterile saline that he expected you to mix 10 to 1 with vinegar for your bladder irrigation. Likely that is why the pharmacist filled the prescription with sodium chloride. He (your doctor) could have given you a prescription for 0.25% acetic acid solution that is appropriately pH balanced for use in the bladder. You could use that solution right out of the bottle instead of having to mix it yourself.

    I prefer using HydroCleanse or MicrocynAH, products made by Sonoma Pharaceuticals, formerly Oculus Innovative Sciences.
    See:
    http://www.sonomapharma.com/microcyn-technology/#
    https://www.youtube.com/watch?v=QDjZpFQ75ew
    http://sci.rutgers.edu/forum/showthr...light=microcyn
    http://sci.rutgers.edu/forum/showthr...light=microcyn
    http://sci.rutgers.edu/forum/showthr...t=Hydrocleanse
    http://sci.rutgers.edu/forum/showthr...t=Hydrocleanse
    Last edited by gjnl; 05-10-2017 at 10:02 PM.

  4. #4
    I used Hydrocleanse, but it is definitely pricey. I would be interested in knowing whether the vinegar/water solution would be just as effective.

    But from the brief review of information, it seems that the vinegar/water solution is more for people with indwelling catheters, rather than general antibacterial irrigation of the bladder.

    Any comments?

  5. #5

    The Journal of Spinal Cord Medicine
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1864807/

    Evaluation of 3 Methods of Bladder Irrigation to Treat Bacteriuria in Persons With Neurogenic Bladder [(a)sterile saline, (b) acetic acid, or (c) neomycin-polymyxin solution]

    Abstract

    Background/Objective:

    We conducted a randomized, double-blind comparison of twice daily bladder irrigation using 1 of 3 different solutions in community-residing persons with neurogenic bladder who used indwelling catheters to evaluate efficacy in treatment of bacteriuria.

    Methods:

    Eighty-nine persons with bacteriuria were randomized to irrigate their bladders twice daily for 8 weeks with 30 mL of (a) sterile saline, (b) acetic acid, or (c) neomycin-polymyxin solution. Urinalysis, cultures, and antimicrobial susceptibility tests were performed at baseline and weeks 2, 4, and 8 to determine the extent to which each of the solutions affected numbers and types of bacteria, urinary pH, urinary leukocytes, and generation of antimicrobial-resistant organisms.


    Results:

    Bladder irrigation was well tolerated with the exception of 3 participants who had bladder spasms. None of the 3 irrigants had a detectable effect on the degree of bacteriuria or pyuria in 52 persons who completed the study protocol. A significant increase in urinary pH occurred in all 3 groups. No significant development of resistance to oral antimicrobials beyond what was observed at baseline was detected.

    Conclusions:

    Bladder irrigation was generally well tolerated for 8 weeks. No advantages were detected for neomycin-polymyxin or acetic acid over saline in terms of reducing the urinary bacterial load and inflammation. We cannot recommend bladder irrigation as a means of treatment for bacteriuria in persons with neurogenic bladder.



  6. #6
    Citation for the article above:

    J Spinal Cord Med. 2006; 29(3): 217–226.
    Ken B Waites, MD, Kay C Canupp, MSN, CRNP, James F Roper, MD, MS,Susan M Camp, MSN, CRNP, and Yuying Chen, MD, PhD2



    (KLD)

  7. #7
    Thanks for adding the complete citation for the article. I thought including the link to the article under the title of the publication was adequate. Not sure why the link isn't hot. If any members want to read the article in its entirety, you will need to copy and paste the link into your browser. I'll try pasting the link again here. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1864807/


    Quote Originally Posted by SCI-Nurse View Post
    Citation for the article above:

    J Spinal Cord Med. 2006; 29(3): 217–226.
    Ken B Waites, MD, Kay C Canupp, MSN, CRNP, James F Roper, MD, MS,Susan M Camp, MSN, CRNP, and Yuying Chen, MD, PhD2



    (KLD)

Similar Threads

  1. What kind of water do you drink?
    By Mac85 in forum Food
    Replies: 40
    Last Post: 02-20-2017, 09:24 PM
  2. white water rafting and horseback riding
    By vickylynn in forum Recreation, Sports, Travel, & Hobbies
    Replies: 10
    Last Post: 08-15-2007, 01:38 PM
  3. what kind of water to put in foley
    By quartermile in forum Care
    Replies: 4
    Last Post: 08-24-2006, 04:17 PM
  4. Go on the Mt. Sinai SCI White Water Rafting Trip!
    By Jeff in forum Recreation, Sports, Travel, & Hobbies
    Replies: 14
    Last Post: 01-20-2004, 08:02 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •