CYSTOCLYSIS

Definition:

It is a continuous irrigation of the bladder with normal saline solution or other solution prescribed by the surgeon.

Purposes:

To wash the bladder continuously to remove blood clots after prostatic surgery.

To determine the degree of hemorrhage from the drainage output.

The provide pressure ( due to catheter balloon) on the operated area thus minimizes bleeding.

Special Considerations:

The rate of flow of the of the irrigating solution and the outflow should be the same.

In case there is no output, it might be that the catheter is clogged or there is malpositioning of the catheter. Try to determine the reason before the resident is notified.

Notify the attending Physician or the resident in charge for problem like bleeding or clogged catheter etc.

Equipment:

3 way Foleybag catheter Rubber connecting tubing Venoset (to infuse solution) Irrigating solutions (NSS, sterile

water) Pail ( for outflow solution)

Procedure:

Hang the irrigating in an IV pole after insertion of venoset.

Connect end of venoset to the inflow of the 3-way Foley catheter.

Connect the rubber tubing to the outflow of the catheter & the other end kept inside the pail.

Run the solution at 100-150 drops/min. Irrigation usually lasts from 48-72hrs. Or

depending on doctors order.