3
•Unpack the UroDapter® and attach its connective tail to the syringe. The UroDapter®
can be attached to both Luer Slip and Luer Lock syringes easily.
•Disinfect the freshly unpacked the UroDapter®, from the tip to the sealing collar, too.
This prevents the drift of bacteria into the bladder, and it inactivates the bacteria
located in the first couple of millimeters of the urethra as well.
Using the UroDapter®: Performing an Instillation
•Ensure that the patient is relaxed enough for the treatment, which makes the instillation
process easier and quicker.
•Always make sure that the UroDapter® is inserted into the urethra, and not into the
vagina in case of female patients.
•For exposing the urethral orifice of female patients, the fingers should lie as close to the
orifice as possible. The exposition has to happen by pulling the labia apart laterally, too
(and not only upwards).
•The instillation can be performed optimally if the axis of the urethra and the syringe are
parallel. In this optimal position, the resistance can be experienced by using the syringe
decreases characteristically. In general, for younger female patients the UroDapter®
should be situated slightly upwards (given that the patient is lying on her back), while
for older patients, it should be situated slightly downwards.
•Only the tip of the UroDapter® should penetrate the urethra, which means
approximately 6–8 mm. The isolating collar should cover the orifice properly and be
pushed against the nearby structures gently.
•Start performing the instillation. Given that the isolating collar is covering the orifice
properly, the instilled solution raises the intra-urethral pressure, which opens the
sphincter, thus the solution enters the bladder. Thus, the instillation itself can be
performed in one minute. The exact time, obviously, depends on the patient.
•If the sphincter becomes constricted due to pain or fear and muscle tone increases,
performing the instillation becomes difficult to impossible. In this case the patient must
be told to relax; a couple of deep sighs may help them, too. It is important to wait until
the constrictions end: the speed of the instillation should be decreased, or, if needed,
paused.
•In case of leakage, a portion of the solution does not reach the urethra, so it flows away
instead. When treating female patients, the leaked solution might enter the vagina, and
re-appears only after the instillation has ended and the patient has stood up. During the
instillation, proper lighting and the constant observation of the sealing collar are
essential so that leakage can be noticed immediately and can be avoided by certain
minor corrections.
•The two most frequent situations in which leakage happens are applying too little or too
much pressure with the UroDapter®. Adjust the pressure accordingly –the ideal amount
