The main points of postoperative treatment after total cystectomy ileal in situ bladder surgery: 1, remove the gastric tube after anal exsufflation, perform a liquid diet, and gradually change to a normal diet, strengthen the nutrition; to maintain smooth drainage of the drainage tube, to prevent dislodging, folding and pressure when turning over; to observe the amount and color of drainage fluid from the drainage tube; 2, to observe the situation of intestinal mucus in the urine, and cooperate with the medical staff to flush to remove intestinal mucus, to keep the vesicostomy tube and the urinary catheter drain smooth; after removing the catheter or cystostomy tube, drink more water, alkalinizing urine treatment (taking sodium bicarbonate tablets) to reduce the secretion of intestinal mucus. After removing the catheter or vesicostomy tube, drink more water, alkalize the urine treatment (take sodium bicarbonate tablets) to reduce the secretion of intestinal mucus; 3, the timing of removing the fistula tube: 2-4 weeks or so, depending on the condition of the catheter (together with bilateral ureteral catheters), and clamped closed the vesicostomy tube, urinate on their own time, observe whether there is urinary incontinence and urinate every 1-3 hours, maintain the volume of urine at each time in 200-300ml or so, urinate with a pressure of 200 to 300ml, urinate with the pressure of the bladder, and keep the volume of urine at the same time. 300ml, when urinating, press the abdomen with hands to increase abdominal pressure to promote the exhaustion of urine each time, and then open the vesicostomy tube and record the amount of urine drained to guide the doctor to decide whether to remove the fistula tube. If the residual urine volume is more than 50ml, there may be poor urination, and need to keep the fistula tube for a long time and actively find the cause and deal with it. 4, early new bladder function training: urinary catheter and fistula removal, according to the amount of water and urine volume to determine the interval between urination, generally 1-3 hours, record each time to urinate time and urine volume, maintain each time the volume of urine in the 200-300 ml or so, urinate with hand pressure on the abdomen to increase the abdominal pressure to promote each time the urine is exhausted, to prevent the residual urine; training conscious active urination, according to my habits and activities, set the number of times to urinate and the number of times to urinate and the number of times to urinate. According to my living habits and activity requirements, set the number and time of urination, generally instruct the patient to urinate 6-8 times during the day, and 2-3 times at night (alarm clock wake-up call), each time interval time 2-3 hours. Record urination diary (urination time, urine volume), as far as possible, according to the urination plan, regular urination, and gradually establish close to the physiological state of urination habits, so that the cerebral cortex to establish a new urinary storage and urination reflex. 5, understand incontinence and cooperate with the treatment: postoperative incomplete incontinence exists, daytime and nighttime can be seen. The incidence of nighttime incontinence is higher than that of daytime incontinence. Functional training is the main focus. For nocturnal incontinence, patients should be instructed to drink less water before going to bed, alarm clock to wake up at night to urinate, strengthen the lifting muscle training and strengthen nutrition. Incontinence in patients with in situ neobladder, minor does not require special treatment, with the prolongation of time, incontinence will gradually improve. 6.To fully understand the importance of regular postoperative review and lifelong follow-up to ensure the long-term efficacy of surgery. Review program: 1, early postoperative monthly urine routine, blood routine, liver and kidney function, electrolytes, if necessary, blood gas analysis; 2, every 3 months review of both kidneys and new bladder ultrasound, urodynamics; 3, every 6 months – 1 year review of intravenous pyelography or new cystography; 4, if necessary, cystourethroscopy and CT examination.