Patient Advice Sheet on
Mitomycin Bladder Instillation
You will have recently had an operation to
remove some growths/superficial tumours from within your
bladder. Mr Lewi has advised you that you need to have a
six week course of Mitomycin treatment instilled into your
bladder, to prevent re-growth. Mitomycin is a form of chemotherapy
in the form of a purple liquid. You will not experience any
of the side effects associated with having chemotherapy i.e.
hair loss, lethargy, nausea or loss of appetite.
You will receive your dates from Sarah Buttle,
Specialist Urology Sister and also a letter from Springfield
Hospital confirming your admission. You will only be in hospital
for 2 hours maximum and you will be able to drive yourself
in/home from hospital. It is important that the Mitomycin
is instilled into an empty bladder, so have your usual cup
of tea/coffee in the morning but nothing to drink after that.
You may eat as normal.
On arrival to the hospital please report to
main reception, where a member of the administration team
will escort you to your room. Sarah will meet you there.
You will have a small catheter inserted into
your bladder via which the Mitomycin is instilled. The catheter
is then removed. You will then be shown to the bathroom so
you can have a wash and get dressed. Sarah will then get
you tea/coffee. You need to hold the treatment in your bladder
for an hour, after which you will be given a jug/bottle to
pass your urine into. This is to ensure the safe disposal
of the Mitomycin. You will then be asked to have another
wash and then you can go home.
After your last treatment Sarah will give you
an appointment to come back to the outpatients department
for a check flexible cystoscopy. This is usually 6 weeks
after your last treatment.
If you take diuretics please do not take them on the morning of your
treatment. As already stated only have your usual tea/coffee in the
morning, this is so the treatment does not become diluted, thus not
If you develop an itchy rash over your trunk/hands/feet please contact
Sarah on 07905 428836. This indicates that you are allergic to the
Mitomycin and can not continue with your treatment.
If you feel that you are getting an urinary
tract infection i.e. it burns/stings when you pass your water,
please contact either your G.P. or Sarah on 07905 428836