Nursing and health care after surgical treatment of bladder cancer

The treatment of bladder cancer is mainly surgical resection. The surgical method and the scope of resection are determined according to the patient's general condition and tumor pathology. All postoperative bladder cancer patients must be properly cared for and given health care.

1. Nursing and health care of patients after partial cystectomy

For patients who retain their bladder, there is nothing special about the care of the urethra, except that they need to pay attention to avoid injury and infection. The most important thing is to follow up closely to prevent tumor recurrence. The follow-up period is to review the cystoscopic examination once every 3 months within 2 years after surgery, and extend it to once every 6 months after 2 years. Patients with suspected recurrence should undergo urine cytology, intravenous urography, urine routine, B-ultrasound and CT.

2. Nursing and health care for patients with ileal bladder passage

The patient's bladder no longer exists in this procedure, and urine flows out from the ileostomy in the abdominal wall, requiring a permanent urine collector. The urine collector consists of a base and a urine bag. Generally, the base can be used for 5 to 7 days, and the urine bag can be used for 1 to 2 days.

3. Nursing and health care of patients with in situ ileal bladder replacement

In this procedure, the patient's urine is also discharged from the original penile urethra, and the focus of nursing care is on the training of urination function. After surgery, you should urinate on time, starting with once every 2 hours, and you can urinate while sitting, and try to empty your urine each time. After 3 to 6 months, gradually extend the urination interval to 3 to 4 hours, and you can urinate while standing. To prevent urinary incontinence, you should insist on levator ani muscle training to exercise the perineum and pelvic floor muscles. Within 6 months after surgery, check liver and kidney function and electrolytes once every half a month to prevent electrolyte imbalance.