Prophylactic: Hiprex31
|
No improvement |
Prophylactic: antibiotics32
|
No improvement |
Increased intake of water15
|
No improvement |
Rinsing bladder with sodium chloride 9 mg/ml daily. Mechanical cleaning.15
|
No improvement |
A review of hygiene procedures15
|
No improvement |
Rinsing bladder with chlorhexidine (0.2 mg/ml) twice a week for a month |
No improvement |
Bladder instillation with Uro-Tainer Suby G and dose escalation for Solution R twice a week in order to acidify patient ratios in the bladder, thereby reducing the bacterial burden |
Less smelly urine 2 days after instillation, less urgency, and less leakage. Patient did however stop treatment due to continued leakage through the urethra and erythema as a reaction to the citric acid. |
Change to silver releasing catheter (Dover Silver) 16, Nelaton 40 cm20
|
Some effect. Patient became free from CAUTI for a short period. During this period, she had less smelly urine, less urgency, and less leakage through the urethra, but the symptoms reoccurred after approximately 3 months. |
Instillation of chondroitin sulphate 20 ml 1/week as an intravesical GAG layer replenishment33
|
No improvement |
Cranberry juice34
|
No improvement |
Local estrogen, Vagifem 10 µg, 2 times/week32
|
No improvement |