I. Patients with cystectomy or partial cystectomy for bladder tumor 1. review cystoscopy every 3 months for 2 years after surgery, change to every 6 months for no recurrence within 2 years. change to every year for no recurrence within 3 years.
2. urinary exfoliative cytology, intravenous urography, urinary routine, ultrasound and CT are optional.
2. Patients with total cystectomy ureteral skin stoma or ileal bladder passage 1. Generally the urine collector sump is changed once in several days, and the urine bag is changed once in 1-2 days.
2.Ureteral stent tube is replaced monthly for those with ureteral skin stoma 3.The skin around the stoma is frequently cleaned and disinfected.
4.If you find flocculent mucus in urine, you can drink more water and take baking soda tablets orally to alkalize the urine and thin the mucus to facilitate smooth urination.
5.Revisit every 3 months within 2 years after surgery and every 6 months after 2 years.
6.Pay attention to prevent the occurrence of retrograde urinary tract infection. If there is sudden high fever, timely medical consultation is required.
7.If there is bloody discharge from the urethra or hematuria occurs, you should seek medical attention immediately to exclude whether there is urethral tumor.
Third, patients with in situ ileal substitution bladder 1, do anal lifting exercises to exercise the perineum and pelvic floor muscles, 30 times for 1 group, at least 5 groups per day.
2.Avoid overfilling of the new bladder and must urinate regularly. Initially, you should urinate once every 2 hours, and gradually extend the interval to 3-4 hours after 3-6 months. If it is difficult to urinate in standing position, you can use squatting position to urinate or sitting position to urinate. Contract the abdominal muscles during urination, hold your breath and exert force or press the abdomen with your hand to increase intra-abdominal pressure and help urination. The bladder should be emptied as much as possible, and intermittent catheterization is required for those who have a lot of residual urine.
3. Check liver and kidney function and electrolytes every 1-2 weeks for 6 months after surgery to prevent disorders of electrolyte balance. Postoperatively, the liver and kidney function and electrolytes should be checked every 3 months within 2 years and every 6 months after 2 years.