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Self-Irrigation and Discharge Instructions for Patients with an Ileal Neobladder - One Tube Irrigation

This information explains how to irrigate your one tube ileal neobladder.

Introduction

This fact card tells you how to irrigate your ileal neobladder. It also tells you what you should and should not do after you leave the hospital. Irrigations help prevent mucus from clogging your catheter tube and from building up on the lining of the pouch. Review the card with your doctor or nurse.

Self-Irrigation Instructions

Irrigate with 50 - 60 mL (cc), in and out 5 times. Repeat every 4 hours.

Supplies

  • Two 60 mL (cc) syringes
  • Normal saline
  • A small container
  1. Wash your hands.
  2. Open the bottle of saline.
  3. Remove the plunger from the outside of the syringe (casing). Recline your body at a 30- to 45-degree angle.
  4. Pull up 60 mL (cc) of saline into the syringe. If necessary, put the syringe down on a clean surface. Disconnect the drainage bag from the Foley® catheter. Place the tip of the syringe into the Foley® catheter. Very gently push the saline into the tube. This is called flushing.
  5. Pull back on the syringe. This is called aspiration. You will probably see some mucus mixed in the saline. Repeat the flushing and aspiration 5 times. If you meet resistance during aspiration, do not force it. Remove the syringe and reconnect the Foley® catheter to the drainage bag. Get up and walk around; you will probably see the drainage mixed with mucus flow from the suprapubic tube at this time.
  6. Wash your hands.

Please note: You can use the same syringe(s) again. Clean the syringe(s) after each use by pulling the plunger out of the casing and washing both with warm water and soap. Let them air dry on a clean surface.

Discharge Guidelines

  • Keep the Foley® catheter connected to the leg bag during the day. You will need to empty these bags every 2 hours. At night, connect the catheter to the large drainage bag. This will allow you to sleep through the night without emptying your bags.
  • Keep your catheter or tube connected to your leg with Cath-Secures® or tape.
  • Drink eight, 8-ounce glasses of noncaffeinated fluids per day.
  • Do not drink any alcohol until your tube and catheter have been removed.
  • Exercise daily, e.g., walk twice a day for one-half hour each time.
  • Shower daily. Let warm water run over the Foley® catheter. Pat the area dry; do not rub it.
  • Clean your Foley® catheter twice each day with warm water and soap.

Call Your Doctor or Nurse If You:

  • Cannot flush the tube or catheter
  • Do not get drainage from your tube or catheter after irrigation
  • Have no urine draining from the bag
  • Feel pressure, pain, bloating, cramping, or distention (expansion) in your abdomen. Try to irrigate first to relieve any mucus plug that could be causing these symptoms.
  • Develop a fever over 101° F (38.3° C)
  • Notice your incision is red, hot, or leaking pus
  • Notice foul-smelling urine
  • Develop nausea with vomiting
  • Have any unexpected, unexplained problems
  • Have any questions or concerns.

The information on this card is selective and does not cover all possible side effects; others may occur. Please report any problems to your doctor.