Bladder leakage in late-stage cervical cancer is caused by the tumor invading the bladder wall, which impairs bladder function and prevents urine from being stored and discharged normally. Treatment requires a combination of surgery, radiotherapy, and chemotherapy, while strengthening nursing care to improve quality of life. 1. Causes of bladder leakage in late cervical cancer In the late stage of cervical cancer, tumors may spread to surrounding tissues, invade the bladder wall, and destroy its normal structure and function. The tumor compresses or directly invades the bladder neck, urethra and other parts, causing the urine control mechanism to fail and urine leakage to occur. After the bladder wall is eroded by the tumor, its elasticity decreases and it cannot effectively store urine, further aggravating the symptoms of urine leakage. The tumor may also cause bladder inflammation or infection, leading to bladder dysfunction and aggravating the problem of urine leakage. 2. Treatment of bladder leakage in late stage of cervical cancer Surgical treatments include partial cystectomy, total cystectomy, and urinary diversion. Partial cystectomy is suitable for cases where the tumor is confined to a certain area of the bladder. The diseased part is removed and bladder function is preserved. Total cystectomy is suitable for cases where the tumor has extensively invaded the bladder. The entire bladder needs to be removed and urinary diversion is performed. Urinary diversion solves the problem of urine drainage by connecting the ureters to another part of the body or outside the body. Radiotherapy and chemotherapy are important treatments for advanced cervical cancer. Radiotherapy uses high-energy rays to kill tumor cells, reduce tumor size, and reduce pressure and invasion on the bladder. Chemotherapy uses anticancer drugs to inhibit tumor growth, control disease progression, and improve bladder function. Radiotherapy and chemotherapy can be used alone or in combination, and the specific plan needs to be formulated according to the patient's condition. Nursing measures are essential to improve the quality of life of patients. Using adult diapers or urine pads can effectively absorb leaked urine, keep the skin dry and clean, and prevent urinary tract infections. Regular bladder training can enhance bladder control through regular urination and pelvic floor muscle exercises. Maintain good personal hygiene habits, change underwear frequently, and use mild detergents to clean the vulva to reduce the risk of infection. Psychological support should not be ignored. Communicate with family and friends, participate in support groups, and relieve anxiety and depression. Bladder leakage in late-stage cervical cancer is a serious complication that requires prompt medical attention and comprehensive treatment measures. Surgery, radiotherapy, chemotherapy and careful care can effectively control symptoms and improve the quality of life. Patients should actively cooperate with treatment, maintain a good attitude, and work closely with medical staff to jointly cope with the challenges of the disease. |
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