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[JCo]

Hello
Hoping to get some advice.

Has anyone had iAluRil/Cystistat for overactive bladder, and UTIs, with success? And, has anyone found they need to have more than one course of treatment for good results?

Have also read about good experiences of intrarosa but unsure how easy it is to get on NHS....

Finally, reading about Prof Malone Lee's approach - aware he is sadly no longer with us. Unsure whether this is commonly practiced, or whether somewhere focused like Hormone Health would be beneficial.

Appreciate any advice.

[CLKD]

Do read the 'bladder issues' thread as well as all those on vaginal atrophy.

VA mimics repeated urine infection-type symptoms really, really well.  Ring your Surgery today and ask for a prescription for 'vagifem' and 'ovestin'/estriol.  You don't need an examination.  The idea is to insert the former into the vagina every night for 2-3 weeks as well as using estriol on the outer labia/vulval areas.

When I get the need2P symptoms I take 'nurofen', 2 x 3 times a day to ease the nip as the flow shuts off.

Has a fresh urine sample been sent to a Lab to confirm an infection because dip stick tests are not reliable.   What is 'cystistat'?

[JCo]

Thanks for this and will read that thread.

Unfortunately vagifem and ovestin didn't resolve the issue, but had heard good things about intrarosa as an alternative.

Cystistat is a type of bladder instillation.

[CLKD]

For those who are a little confused 

NHS :: What is a cystistat?
Cystistat is a solution containing 40mg of sodium hyaluronate in a 50ml vial, used to treat bladder conditions such as interstitial cystitis (inflammation of bladder lining).


What happens during the procedure?

You will need to lie down throughout your treatment. A fine plastic tube (catheter) will be passed into the bladder and the medication (50ml) will be given slowly through it. The catheter will then be removed. You will be asked to hold the urine in your bladder for a minimum of 15 minutes and a maximum of 30 minutes. You will then be asked to empty your bladder. The instillations are planned for once a week for six weeks, then once per month for six months. You will be reviewed after six to eight weeks of treatment.