Points for attention after bladder cancer surgery

summary

Not long ago, my uncle had bladder cancer surgery for treatment. My uncle has been diagnosed with bladder cancer for a period of time. In daily life, he often has the symptoms of urination bleeding. The doctor also told us about the matters needing attention after bladder cancer surgery.

Points for attention after bladder cancer surgery

Note 1: cystoscopy should be reexamined every 3 months within 2 years for patients with bladder preservation, and every 6 months for patients without recurrence within 2 years. Other optional reexamination contents include: urine exfoliative cytology, intravenous urography, urine routine, B-ultrasound and CT, etc.

Note 2: Patients with ileal bladder passage need to install urine collector permanently because their urine flows out from ileostomy on abdominal wall. The urine collector is composed of a chassis and a urine bag. Generally, the chassis is replaced every few days, and the urine bag is replaced every 1-2 days.

Note 3: in patients with orthotopic ileal bladder replacement, because the urine is still discharged from the original penis urethra, in order to prevent urinary incontinence, we should do anal lifting training to exercise perineal and pelvic floor muscles, 30 times as a group, at least 5 groups a day.

matters needing attention

Patients with bladder cancer should have a positive and optimistic attitude to face and treat this disease. In order to avoid over filling and volume decompensation of new bladder, reduce the re absorption of waste in urine and reduce the occurrence of metabolic complications such as acidosis, it is necessary to urinate regularly. Urination should be done every 2 hours at first, and the interval of urination should be extended gradually after 3-6 months.