How to care for complications after prostate cancer surgery

Prostate cancer is a male disease with a relatively high incidence rate, and it is a malignant tumor that causes great harm to patients. Nowadays, the main method of treating prostate cancer is through surgery, but if postoperative care is not done well, some complications may occur. So, how to care for complications after prostate cancer surgery?

1. Cardiopulmonary, liver and kidney function care

In addition to the decline in organ function, elderly patients also have varying degrees of heart, lung, liver and kidney function disorders. Long surgery time and large blood loss may cause changes in heart rate, respiration and blood pressure. After surgery, the changes in vital signs should be closely monitored, attention should be paid to maintaining airway patency, encouraging patients to move early, paying attention to expectoration, and giving nebulization inhalation when necessary to prevent lung infection. After anesthesia is recovered, guide patients to do flexion and extension exercises of both lower limbs on the bed, and appropriate massage is beneficial to lower limb blood circulation, prevent lower limb venous thrombosis, and avoid thrombus detachment that can cause pulmonary infarction and cerebral infarction and endanger life. After gastrointestinal function is restored, patients should be encouraged to eat fruits and vegetables to keep bowel movements smooth and prevent bleeding due to increased abdominal pressure. .

2. Care of postoperative urinary incontinence

Postoperative urinary incontinence is caused by damage or stretching of the urethral sphincter, which can lead to permanent or temporary urinary incontinence. The patient cannot control urination, which seriously affects the quality of daily life. Long-term urinary incontinence is prone to secondary urinary tract and perineal skin infections.

Therefore, patients who experience temporary urinary incontinence after catheter removal should be fully prepared mentally. To cooperate with continued treatment after surgery, patients who have recovered after surgery can be asked to talk about their personal experiences, overcome their tension and anxiety after surgery, and build their confidence in treatment. Patients can be guided to perform pelvic floor muscle exercises, that is, lying flat on the bed to reduce abdominal pressure, increase urethral closure pressure, and contract the anus at the same time.

3. Postoperative care for erectile dysfunction

Surgery can damage the bilateral vascular nerve bundles of the penis. Nurses should listen to patients with erectile dysfunction who are troubled and feel inferior about the loss of sexual ability with a sincere attitude and provide effective psychological counseling.

4. Nursing of urethral anastomotic stenosis

If the urine stream becomes thinner and urination becomes difficult, urethral anastomotic stenosis may be considered. Urethral dilation can relieve the symptoms. Before dilation, explain to the patient the method, necessity, possible complications and pain caused by urethral dilation. At the same time, ensure the cleanliness of the urethral opening to avoid complications.

5. Nursing of bleeding from surgical wounds

After prostate cancer surgery, wound bleeding or intestinal damage may occur, requiring different drainage tubes to be placed. First, the drainage tube should be kept unobstructed to prevent it from falling off, and the drainage volume should be recorded in detail and the color of the drainage material should be observed. If the drainage fluid is dark and large in volume in the early postoperative period, it often indicates that the surgical wound is bleeding heavily, and active hemostasis treatment and blood volume supplementation should be used.

The above introduces how to care for complications after prostate cancer surgery. It seems that prostate cancer can cause many complications. When you suffer from prostate cancer, in addition to timely treatment, you should also pay attention to preventing the occurrence of complications. Once complications occur, you should take timely measures to deal with them to avoid greater harm.