“At first, we found that the number of times he urinated increased significantly, and later, it began to be difficult to urinate, sometimes holding straight to cry even if he could not urinate, and finally discharged red blood urine ……,” said Ms. Wang, Xiaohao’s mother, who was then found to be suffering from bladder sarcoma.
According to Ms. Wang’s recollection, during her pregnancy, she had spent long hours on the computer and other electronic devices. Liu Chunxiao, director of urology at Zhujiang Hospital, believes that radiation cannot be ruled out as having an adverse effect on the growth and development of the fetus. He pointed out that the incidence of bladder cancer has entered the top 10 of domestic malignant tumors, and the number of young children suffering from bladder embryonic rhabdomyosarcoma like Xiao Hao has increased, which is not unrelated to various environmental pollution including radiation, food pollution and various air pollution caused by smoking. Especially when a pregnant woman eats contaminated food, the risk of fetal problems is greater.
Worried about the open surgery to cut the bladder, a life back urine bag?
The following year or so, Ms. Wang and her children embarked on a long road to seek medical help. “The bladder can be removed, but after surgery the child must carry a urine bag for life and cannot urinate normally like everyone else.” Ms. Wang said that at a hospital in Beijing, the doctor’s advice was to cut out the bladder and then pull the ureter to the stomach, and the urine would flow directly from the stomach and have to be held in a bag all the time.
Couldn’t a child have a new bladder rebuilt? “Doctors told me that there are indeed surgical methods to construct a new bladder using part of the gastrointestinal segment, but the cases are almost always in adults.” In Beijing, Ms. Wang was told by the hospital that Xiaohao was too young and that the surgery was too risky.
“It’s true that the main targets for radical total abdominal bladder cancer surgery are still adults. Even abroad, case reports on pediatric patients are extremely rare.” Liu Chunxiao introduced that laparoscopy can greatly reduce damage and bleeding during surgery, especially for young children who cannot withstand too many surgical blows. But to apply laparoscopic techniques to young children, especially for major surgeries like removal of the bladder, requires high levels of surgical technique, surgical instruments and operator skill. For this reason, specialists are afraid to use this procedure in such children. However, total laparoscopic radical cystectomy and bladder reconstruction can not only save the child’s life, but also restore his physiological functions so that he can urinate like a normal person and even have erectile function after healing. Therefore, in recent years, Chunxiao Liu has been doing clinical exploration in this area.
When Ms. Wang found Liu Chunxiao, more than 2 months had passed since Xiao Hao discovered the tumor. The tumor had been growing wildly and almost filled up the entire bladder, and Xiao Hao had to rely on a urinary catheter to drain the urine.
“With a larger tumor size, laparoscopic surgery is more difficult and the chance of side injuries may increase.” Liu Chunxiao contacted experts from the hospital’s oncology department and administered 2 courses of chemotherapy to Xiaohao. Under the sniping of drugs, the growth rate of the tumor was curbed and the volume was temporarily reduced by half, and the opportunity for surgery appeared!
On January 19, 2010, doctors decisively performed a laparoscopic total cystectomy on Xiaohao and reconstructed a new bladder using a section of his sigmoid colon. His recovery is going very well, and post-operative imaging shows the new bladder is growing well. According to Liu Chunxiao, he will be able to urinate like a normal person after healing.
This newspaper (Reporter Weng Shuxian correspondent Chen factual shoes shoes (7) technetium. He was unfortunately diagnosed with bladder cancer in September, and then followed his parents on a long journey to seek medical treatment. However, because he was too young and too difficult to treat, specialists at many major hospitals were afraid to go ahead with his treatment. It was only recently that he was successfully treated in the Department of Urology at Zhujiang Hospital in Guangzhou. Doctors not only used minimally invasive laparoscopic techniques to remove the bladder “invaded” by the tumor, but also used a section of his sigmoid colon to reconstruct a new bladder so that he could urinate normally.