After total urethrectomy for vulvar cancer, patients usually urinate by means of cystostomy, and they need to pay attention to the care of cystostomy site, urination management, vulvar cleansing, bowel control and so on.
1. Vesicostomy care: patients need to keep the local puncture site dry and clean after vesicostomy, try not to be soaked by urine, and change the medication regularly. If local discomfort occurs, it is necessary to go to the urology department in time.
2. Urinary management: patients need to urinate regularly, do not open the catheter valve for a long time, so as not to affect the bladder function. In addition, it is necessary to record the daily urinary output, urine color and other conditions, and regularly change the catheter and urine bag to prevent retrograde infection.
3. Vulvar cleanliness: first of all, pay attention to the cleanliness of the wound location, and see if the wound has pus and inflammation, if there is oozing blood, oozing liquid situation should notify the doctor and nurse in time to change the medicine.
4. Control of bowel movement: low fiber and high protein diet should be taken before and after surgery to reduce the frequency of bowel movement and unnecessary infection.
Precautions after total urethral resection for vulvar cancer, specific need to consult urologist’s opinion.