Hello!

I am writing today to ask a question in regards to the preparation of bladder instillations (products to be administered intravesically into the bladder) in the outpatient space.

Typically these bladder instillations or bladder “cocktails” involve a combination of injectable heparin, lidocaine+sodium bicarbonate or bupivacaine, steroids and sometimes gentamicin. Typically these are administered in the office setting, however in some instances patients may be taught to administer such therapies at home as well.