What should be noted after bladder cancer surgery?
1. Patients with preserved bladder should be reviewed for cystoscopy once every 3 months for 2 years after surgery, and once every 6 months instead for those without recurrence within 2 years. Other optional reexaminations are: urinary exfoliation cytology, intravenous urography, urinary routine, ultrasound and CT.
2. Daily care and health care for patients with ileocecal bladder crossing: as the patient’s urine flows from the abdominal wall ileostomy, a urine collector needs to be permanently placed. The urine collector consists of two parts, the sump and the urine bag, and the sump is usually replaced once in several days, and the urine bag is replaced once in 1~2 days.
Care should be given to: a Permanent dermatostomy patients should protect the skin around the stoma, wash and disinfect it daily, and apply zinc oxide ointment etc. b If flocculent mucus is found in the urine, drink more water and take oral baking soda tablets to alkalize the urine and thin the mucus for smooth urination. c A comprehensive review should be done every 3 months for 2 years after surgery and every 6 months after 2 years. d Pay attention to the occurrence of retrograde urinary tract infection. Occurrence of sudden high fever also requires timely hospital consultation. e If bloody discharge appears at the urethral orifice, be alert to the possibility of residual or occurrence of urethral tumor and come to the hospital promptly.
3, daily care and health care for patients with in situ ileal substitution bladder: Since urine is still discharged from the original penile urethra, to prevent the occurrence of urinary incontinence should be done lifting muscle training to exercise the perineum and pelvic floor muscles, 30 times for 1 group, complete 30 groups per day. Initially, you should urinate once every 2 hours in a sitting position, relax the pelvic floor muscles, add pressure to the abdomen, make sure to drain the urine every time you urinate, and apply an alarm clock to wake up every 2 hours at night to urinate on time. 3 to 6 months later, gradually extend the interval between urination to 3 to 4 hours, change to standing urination, drink 2 to 3 liters of water daily, and eat more salt appropriately. Within 6 months after surgery, liver and kidney function and electrolytes should be checked every 1~2 weeks to prevent electrolyte balance disorder. A comprehensive review should be conducted every 3 months for 2 years after surgery and every 6 months after 2 years. All patients should quit smoking and also develop a good habit of drinking more water, 2 to 3 liters of water per day.