What is the postoperative care for bladder cancer

Bladder cancer is a relatively common malignant tumor. It is part of all visceral cancers and is more common in men aged 50-69. The main clinical manifestations are painless macroscopic hematuria, bladder irritation (frequent urination, urgency, etc.) and dysuria. Advanced lesions can also lead to upper urinary tract obstruction. The preferred treatment for bladder cancer is still surgery. The sensitivity of radiotherapy and chemotherapy is not very high, and postoperative care is also very important. The quality of care directly affects the patient's physical recovery after surgery. So what is the postoperative care for bladder cancer?

(1) Observe vital signs: After radical bladder cancer resection, due to the large surgical wound, there may be a lot of bleeding. Therefore, vital signs should be closely observed to ensure smooth blood transfusion and infusion. Symptoms and signs of shock should be discovered early, and treatment and care should be provided in a timely manner.
(2) After bladder tumor transurethral resection, routine flushing should be performed for 1 to 3 days. The color of the bladder flushing drainage fluid should be closely observed. According to the changes in the color of the drainage fluid, the flushing speed should be adjusted in time to prevent blood clots from blocking the urinary catheter. After stopping bladder flushing, the patient should be instructed to drink more water to achieve the effect of self-flushing.
(3) Patients can eat 6 hours after transurethral resection of bladder tumors. The diet should be nutritious and high in crude fiber. Spicy and irritating foods should be avoided to prevent constipation.
(4) After radical cystectomy, gastrointestinal decompression should be continued, and the nature, color, and volume of gastric juice should be closely observed and recorded. After gastrointestinal function is restored, the gastric tube should be removed and feeding should be started, starting with rice soup with sugar, gradually transitioning to liquid food, semi-liquid food, and finally normal food. Closely observe whether the patient has symptoms of nausea, vomiting, diarrhea, abdominal distension, abdominal pain, and intestinal obstruction after eating.
(5) After ileal cystotomy, the blood flow of the urinary stoma should be closely observed to detect stoma complications in a timely manner. Keep the wound and stoma dressing clean and dry.
(6) Prevention of infection: Measure body temperature and changes in white blood cells regularly to observe whether infection occurs. Keep the skin around the stoma clean and dry, turn over, tap the back, and cough up sputum regularly. If the sputum is thick, use atomization inhalation. Appropriate activities and other measures can prevent infection.