To confirm a diagnosis of invasive bladder cancer, CT and MRI are required, and if the tumor is found to have invaded the muscle layer of the bladder, the entire bladder with the surrounding tissue can only be removed. This surgery is usually laparoscopic and leaves four scars in the abdomen, one of which is larger (used to remove the bladder).
When the bladder is removed, urination becomes the biggest problem for the patient, so while the bladder is removed, the patient’s urination problem is also solved.
2, Ureteral abdominal wall stoma, directly connecting the ureter to a urinary bag outside the body, this procedure is the simplest, but there are relatively more complications because the direct pulling of the ureter tends to cause stricture and may reflux into the kidney, so it is only suitable for patients who are too old, have very serious disease or cannot use the intestinal tract.
The above two ways are relatively simple, but the patient lives inconveniently with a urine bag hanging every day, and carries the smell of urine, and inevitably has to accept strange looks and cannot carry out normal social activities.
3, there is another is ileal in situ cystectomy, take a section of ileum in the original bladder position to make a new bladder, urinate in the same way as a healthy person, but will be relatively laborious, and some patients will have incontinence or difficulty in urination. This is the most beneficial way for patients at present, but the surgery is relatively more difficult and the requirements for patients are higher, for example, tumor with upper urinary tract metastasis cannot be done.
In addition to anesthesia evaluation, some bowel imaging is also done to evaluate whether a section of the intestine can be removed for urine storage. In order to keep the intestine clean, the patient has to fast and abstain from food and water for two days before the surgery, and is only given fluids for nutrition. The whole procedure is long, taking 3 to 5 hours, and the patient has to prepare 20 to 30 thousand yuan of money, and if in situ cystectomy is to be done, the time and cost will be a little more.