Bladder washouts

Why do a bladder washout?

A bladder washout is performed to remove debris from the bladder. This is commonly required for people who have had:

• A bladder augmentation, as the intestine used to increase bladder size produces mucous, can block catheters, prevent complete emptying of the bladder and increase risk of an infection
• An ileal conduit where the bladder remains insitu, as both the bladder and ileal conduit will continue to produce mucous and this will need to be flushed out regularly.

A bladder washout is not recommended for managing recurrent catheter blocking unless advised by a urologist or spinal cord injury rehabilitation specialist. See advice for alternative management of indwelling catheter blocking.

What is a bladder washout?

A bladder washout is a high-volume irrigation of the bladder to “flush” the bladder with clean water to remove any residue or debris. This is achieved by attaching a syringe to the end of the catheter, injecting clean water, and then withdrawing it. The frequency that this may need to be done is based on the person’s need. Not attending to regular bladder washouts can result in increased risk for urinary tract infections or calculi development.

Troubleshooting

Difficulty inserting fluid

If unable to irrigate through the catheter do not force it. Change the catheter and try again. If the problem persists, please see the local doctor, hospital or nurse.

Infection

If there are any concerns with urine appearing cloudy, malodorous, a reported sensation of stinging, burning or visible haematuria, please contact the local doctor, hospital or nurse.