Discharge precautions: 1. Regular bladder infusion chemotherapy, the purpose of which is to maximize the prevention of tumor recurrence, the infusion chemotherapy regimen is “piroplatin 40mg/epirubicin 50mg + 40ml of water for injection” once a week for eight times. Later, the infusion was changed to once a month until two years after surgery. If there is no recurrence two years after the operation, the infusion can be stopped or the doctor’s opinion can be followed. (There are many drugs used for bladder instillation chemotherapy, such as: piroplasin, epirubicin, epiarubicin, mitomycin, hydroxycamptothecin, etc., all can be used, you can choose according to local conditions or follow the doctor’s advice).
2, bladder infusion chemotherapy should be less water before, bladder infusion chemotherapy after drinking more water to urinate more to reduce the stimulation of drugs on the bladder, oral anti-inflammatory drugs to prevent infection if necessary. Chemotherapy drugs are generally retained in the bladder for 30 minutes.
3, bladder perfusion chemotherapy after the performance of urinary frequency, urinary urgency, painful urination, etc., may occur urinary tract infection, should be promptly to the hospital and treatment, if necessary, suspend perfusion chemotherapy until the infection is cured before continuing perfusion.
4, must be regularly reviewed: review the contents of the bladder ultrasound and cystoscopy, counting from the date of surgery, review ultrasound or cystoscopy after three months, review cystoscopy or ultrasound after another three months, review ultrasound or cystoscopy after another three months, and so on. It is not recommended to check only ultrasound because ultrasound cannot detect small recurrent tumors, and cystoscopy should be checked at least once every six months.
5. If hematuria occurs during the follow-up period, you should go to the hospital in time to check whether it is tumor recurrence.
6. Other review contents, such as liver and kidney function, internal ultrasound, etc., should follow the doctor’s advice.
7. Quit smoking and drinking, and eat less spicy and stimulating diet. Drink less coffee, strong tea and other stimulating drinks.