Intravesical drug infusion therapy after bladder tumor surgery

I. Intravesical drug infusion therapy 1. Method: (saline, water for injection, 5% glucose solution) 30 ml-50 ml plus mg, mixed under aseptic conditions, injected into the bladder by the ureter. Note: Drain the urine in the bladder before instillation.

2. Position: 15 minutes each in supine, right-sided, prone, and left-sided positions, with retention for about 1 hour; if conditions permit repeating again, retention can be 2 hours, followed by urination.

3.Course of treatment: 8 instillations once a week for 2 months; then 10 instillations once a month for 10 months, for a total of 1 year.

Precautions 1.If the infusion of BCG and other drugs, such as urinary frequency, urinary urgency, urinary pain, take Remifentan 0.3, Rifampin 0.45, once a day.

2, infusion of mitomycin, thiotepa, etc., need to review the blood routine.

3, drug infusion to pay attention to the principle of aseptic operation, before and after the infusion can be prophylactic oral antibiotics. (Ciprofloxacin, etc.) 4. High-risk patients are reviewed for cystoscopy every 3 months for 2 years after surgery, every 6 months after the third year, and annually after the fifth year for life. Low-risk patients are reviewed at 3 months postoperatively, a second time after 9 months, and then annually for 5 years. Ultrasound, chest radiographs and other tests were performed at each review as appropriate.