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    betadine instillation

    My usual urologist (not a neuro-urologist) was uncomfortable writing a gentamicin Rx for an instillation protocol. He referred me to a partner at the practice who is a neuro-urologist and who does my Botox every year. He was unconvinced as to its efficacy. He said he had a few patients but his experience left him unmoved. I didn't press him to ask him for the RX regardless of his experience. Perhaps I should have.

    Both urologists mentioned instillation of Betadine. Has anybody heard of this or done it? The neuro-urologist said to put it in full strength (really?) and then let it run out. There was scant information available on the Internet. What I did see mentioned 50 mL of 2%. I'm leery about this. The Betadine that we buy comes in various strengths including 10%. That is quite different than 2%.

    I really was hoping they would write me the RX and let me do a three month trial.

    It certainly would be inexpensive.

    #2
    I think it is time...

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      #3
      Originally posted by craig View Post
      I think it is time...
      ...to find a new Urologist.
      "I have great faith in fools; self-confidence my friends call it." - Edgar Allen Poe

      "If you only know your side of an issue, you know nothing." -John Stuart Mill, On Liberty

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        #4
        Originally posted by Oddity View Post
        ...to find a new Urologist.
        Betadine sounds a little harsh but I have neither researched it nor heard of anyone instilling.

        For the past 12-15 years, I have been using: "neomycin/polymyxin b sulfates SOL 40/ML IR", a generic Neosporin bladder irrigant.

        I have also used Gentamycin, my urologist decided to switch up for a few months to keep me from becoming resistant to the above med. Both are a bit of work but have been well worth the benefits for me.

        I do intermittent cath. At about 25 years post-SCI my bladder started kicking in with frequent infections. irrigation -installation has made a world of difference.

        Just my opinion but if your urologist isn't familiar with the practice or medications.
        I would consider taking some alternative actions.
        Good luck.

        Bob Vogel has written at least three articles about this practice that I am aware of, in "New Mobility", here's an older one:
        http://www.newmobility.com/2011/04/neosporin-gu/

        here is a 2015 article on the topic:
        http://newmobility.com/2015/12/bladd...ant-solutions/

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          #5
          Yeah, I dunno about the betadine either, but being unwilling to prescribe Gent based on a couple of his anecdotal experiences over the evidence based medical research on the subject is a red flag for me.
          "I have great faith in fools; self-confidence my friends call it." - Edgar Allen Poe

          "If you only know your side of an issue, you know nothing." -John Stuart Mill, On Liberty

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            #6
            A clinical trial for Betadine instillation was cancelled due to lack of enrollment fairly recently. Which - if clinicians can’t get folks having multiple UTIs to enroll, leads me to have doubts about clinician confidence in the potential treatment.

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              #7
              agreed, time for a new doc..............
              Originally posted by Oddity View Post
              Yeah, I dunno about the betadine either, but being unwilling to prescribe Gent based on a couple of his anecdotal experiences over the evidence based medical research on the subject is a red flag for me.
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                #8
                My advice is not to instill betadine into your bladder. It is harsh to tissues and could cause an inflammatory reaction.

                I echo the sentiment above - time for a second opinion.

                ckf
                The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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