How should patients with bladder cancer take care of themselves after surgery

Bladder cancer is a common malignant tumor of the urinary system. A significant difference between bladder cancer and other cancers is that it is easy to recur after surgery. For example, most patients who undergo bladder preservation surgery will relapse within two years. Therefore, postoperative care for bladder cancer is particularly important. We will introduce it in detail below:

Daily care and health care for patients with preserved bladder:

Cystoscopy should be repeated every 3 months within 2 years after surgery, and once every 6 months if there is no recurrence within 2 years. Other optional review contents include: urine cytology, intravenous urography, urine routine, B-ultrasound and CT.

Daily care and health care for patients with ileal bladder passage:

Because the patient's urine flows out from the abdominal wall ileostomy, a urine collector needs to be permanently placed. The urine collector consists of a base and a urine bag. Generally, the base is replaced every few days, and the urine bag is replaced every 1 to 2 days.

Attention should be paid to the following when nursing:

(1) Patients with permanent skin fistulas should protect the skin around the fistula, clean and disinfect it every day, and apply zinc oxide ointment;

(2) If you find that your urine contains mucus, you can drink more water and take baking soda tablets orally to alkalinize the urine and thin the mucus, which will facilitate urination.

(3) A comprehensive review should be conducted every 3 months within 2 years after surgery and every 6 months thereafter;

(4) Pay attention to the occurrence of retrograde urinary tract infection. If there is a sudden high fever, go to the hospital for diagnosis and treatment in time;

(5) If bloody discharge is seen at the urethral opening, one should be alert to the possibility of residual or developing urethral tumors and seek medical attention promptly.

Daily care and health care for patients with in situ ileal bladder replacement:

Since urine is also discharged from the original penile urethra, in order to prevent urinary incontinence, levator ani muscle training should be done to exercise the perineum and pelvic floor muscles. 30 times is one group, and 30 groups should be completed every day. Initially, you should urinate once every 2 hours, urinate in a sitting position, relax the pelvic floor muscles, and add abdominal pressure. Make sure to empty the urine every time you urinate. Use an alarm clock to wake up every 2 hours at night and urinate on time. After 3 to 6 months, gradually extend the urination interval to 3 to 4 hours, change to standing urination, drink 2 to 3 liters of water a day, and eat more salt appropriately. Within 6 months after surgery, check liver and kidney function and electrolytes once every 1 to 2 weeks to prevent electrolyte imbalance. A comprehensive review is conducted every 3 months within 2 years after surgery, and every 6 months after 2 years.

Expert Tips: All bladder cancer patients should quit smoking and develop a good habit of drinking more water, 2 to 3 liters of water a day. The above is an introduction to postoperative care for bladder cancer. We hope it can help you and we feel very honored. If you have other questions, please consult our online experts for more information.

Bladder cancer http://www..com.cn/zhongliu/pg/