Postoperative Precautions for Urologic Diseases

No one wants to get sick, but if you do, you have to treat it. Seeing a doctor to treat well is just to take medicine, injections, in addition to some diseases also need surgical treatment. Surgery is the proverbial knife. In the human body to move the knife is too hard! But some diseases rely on drugs and injections is useless ah, in order to effectively treat also have to really. Open surgery is certainly to open the body to the sick place to remove, after surgery may be more or less will leave some complications. Some people take it seriously and say that I have no problems after the surgery! Hey, you really do not want to argue, there is no scar left behind by the surgery? Is there any other bad thing besides this essential scar? There may be, and some of them may be quite a lot or quite serious. Let’s take the common complications after our common urologic surgery. In addition to other common cardiovascular, cerebrovascular and respiratory complications common to major surgery, abdominal surgery may also occur intestinal paralysis, intestinal adhesions, intestinal obstruction, intestinal fistula, pancreatic fistula, incisional hernia, lower extremity venous thrombosis, etc.; urological common postoperative complications are urinary fistula, urethral stenosis, ureteral stenosis, lymphatic fistula, in addition to the complications specific to each disease of the urologic system and the precautions: General precautions: Observe respiration, blood pressure and sanity, and keep each drainage tube open. Record the drainage flow and urine volume of each drainage tube; observe the color of the drainage fluid and urine. If you find a sudden increase in the amount of drainage or a significant change in color, no drainage fluid in the drainage tube for a long time, and no urine after the operation call the doctor immediately. Complications and precautions specific to different diseases of the urinary tract: I. Adrenal pheochromocytoma: adrenal crisis – this complication is very dangerous. Just back to the ward within the first two or three days, closely observe the patient’s blood pressure, pulse and any other discomfort, if you find that the blood pressure fluctuates drastically or abnormally high, lowered, pulse accelerated and accompanied by profuse sweating, beware of. Call the doctor immediately. Kidney Surgery: 1. Postoperative intercostal nerve pain at the incision site may occur after surgery through the lumbar incision, and in severe cases, long-lasting painkillers are required. 2, partial nephrectomy should be bedridden for a week, urinating and defecating in bed. The first reason is to prevent bleeding at the renal suture caused by premature postoperative activities; the second is to prevent renal prolapse. Third, surgery involving the urinary tract (such as the renal pelvis, ureter, bladder) must maintain a variety of drainage tubes, especially the catheter, ureteral stent tubes, which is related to the success or failure of the operation of the key factors. Once these drainage tube obstruction to the urine can not be successfully discharged will affect the healing of the anastomosis, leading to the occurrence of urinary fistula. Urinary stones: drink more water after surgery to prevent recurrence of stones. Urinary tract epithelial cancer should drink more water after operation. Ultrasonography can not replace cystoscopy, and cystoscopy must be rechecked regularly. Prostate: 1. Prostate hyperplasia: it should be surgically treated when regular drug treatment is ineffective. Preferred transurethral resection of the prostate (TURP), postoperative incontinence or dysuria may occur. 2.Prostate tumor: Because radical prostatectomy for prostate cancer is more traumatic, there are more complications. In addition to common surgical complications, there are urinary fistula, urinary difficulty, urinary retention, urinary incontinence, sexual dysfunction and so on. VII. Bladder tumor: 1. Total cystectomy in situ neobladder: urination problems: therefore, the neobladder is made of small intestine or colon without innervation, so urination needs to be strengthened with acquired training. (1) Difficulty in urination: the most common cause is one is the mucus secreted by the bowel obstructing the urethra leading to poor urination, the second is the anastomotic stenosis, and the third is the lack of abdominal pressure during urination. Severe cases need to be reopened for urostomy; (2) urinary retention; (3) urinary incontinence; (4) retrograde urinary tract infection; (5) urinary fistula; (6) hydronephrosis; (7) renal dysfunction; (8) electrolyte disorders; (9) male sexual dysfunction. 2, total cystectomy after ileal cystectomy: need to wear a urine bag in the lower abdomen permanently. There may be fistula retraction, anastomotic stenosis, hydronephrosis, retrograde urinary tract infection, male sexual dysfunction. 3.Total cystectomy ureteral skin fistula: prone to stoma stenosis leading to hydronephrosis, retrograde infection, male sexual dysfunction. 4, retain the bladder surgery: postoperative anticancer drugs bladder perfusion note to drink more water, reduce the stimulation of the drug on the bladder mucosa, in order to reduce the occurrence of chemical cystitis. If the phenomenon of urinary urgency, frequency and pain occurs, chemical cystitis should be considered after excluding bacterial cystitis. After the operation must adhere to the review cystoscopy although it makes people feel painful, cystoscopy can find imaging such as CT, MRI and ultrasound can not detect the tiny lesions.