What are the do’s and don’ts of caring for a bladder fistula?

  Patients with bladder cancer should go to the hospital for relevant examination and treatment in time. Patients with bladder cancer should also develop good living habits and exercise actively, plus people suffering from bladder fistula are generally emotional, easily irritated, uncooperative with treatment and feel inferior psychologically. How to care for a patient with a bladder fistula? The way of care please follow the following methods in detail.  1, routine care, maintain the hygiene of the patient, the living room, learn the observation of vital signs such as body temperature, whistling, pulse, blood pressure, etc., inform the patient and family members of the simple manifestations of disease deterioration or the occurrence of complications.  2, training bladder function, continuous urinary discharge can be due to long-term bladder emptiness, atrophy of the detrusor muscle, and eventually the formation of bladder contracture. Instruct patients or family members to clip the tube to train bladder function, depending on the amount of water drunk, generally release urine every 3 to 4h, or release urine when there is a bowel movement, so that the bladder remains somewhat full, both to prevent bladder shrinkage or overinflation, and to facilitate the establishment of autonomic or reflex urination.  3, Drink water, instruct patients to drink more boiled water every day, at least 2000ml per day, so that the urine volume increases and the stoma tube is open to achieve physiological flushing to prevent infection or stone formation.  4, urine bag and fistula replacement, twice a week to replace the urine bag, when changing the urine bag need to strictly disinfect the end of the fistula, the urine bag position should not be higher than the bladder level to prevent retrograde infection caused by urine reflux. The cystostomy tube should be prevented from being blocked by distortion or compression. The cystostomy tube should be replaced before the urinary scale settles, usually every 6-8 weeks, to avoid affecting urinary drainage and causing infection or secondary stones. Changing the tube can be done at a community medical station or hospital, and the patient and family should be informed to contact the medical staff promptly if the fistula is not working or is blocked.  To sum up, this is all we need to know about what to consider in the care of bladder fistula. We also remind you that patients with bladder cancer are suffering from the disease, so their bodies are inevitably worse. If there is any abnormality, you must go to a regular hospital for examination and confirmation in time.