What are the postoperative health care measures for bladder cancer

The prognosis and survival rate of bladder cancer is directly related to the stage of the patient's condition, including the stage and severity of the tumor. These are the two aspects with the greatest impact. Other aspects are also a focus, such as whether the postoperative health care measures are applied scientifically and whether sufficient measures are taken to prevent recurrence. The following is an introduction to the postoperative care measures for bladder cancer:

① Patients who retain their bladder should have a cystoscopic review every 3 months within 2 years after surgery, and if there is no recurrence within 2 years, the review should be changed to every 6 months. Other optional review contents include: urine cytology, intravenous urography, urine routine, B-ultrasound and CT, etc.

② Daily care and health care for patients with ileal bladder tract: 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 during care: (1) Patients with permanent skin ostomy should protect the skin around the ostomy, clean and disinfect it every day, and apply zinc oxide ointment, etc.; (2) If flocculent mucus is found in the urine, you can drink more water and take baking soda tablets orally to alkalinize the urine and thin the mucus, so as to facilitate urination; (3) A comprehensive review should be conducted every 3 months within 2 years after surgery, and every 6 months after 2 years; (4) Pay attention to the occurrence of retrograde urinary tract infection. If there is a sudden high fever, you should go to the hospital for diagnosis and treatment in time; (5) If bloody secretions appear at the urethral opening, you should be alert to the possibility of residual or occurring urethral tumors and go to the hospital for treatment in time.

③ Daily care and health care for patients with in situ ileal bladder: 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 a group, and 30 groups should be completed every day. Initially, urination should be done once every 2 hours, urination in a sitting position, relaxation of the pelvic floor muscles, and abdominal pressure. Make sure that the urine is completely discharged each time urination. 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 every 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 should be conducted every 3 months within 2 years after surgery, and every 6 months after 2 years.

Clinical studies have found that the incidence of bladder cancer is closely related to excessive intake of fat and cholesterol. It is also recommended that patients try to control the intake of these two foods in their diet after surgery. This can reduce the chance of recurrence of bladder cancer, avoid aggravating their condition and promote recovery.