What should I pay attention to after bladder cancer surgery?

Bladder cancer is the most common malignant tumor of the urinary tract, accounting for 4% of all visceral organ cancers. It is more common in men aged 50-69. The main clinical manifestations are painless macroscopic hematuria, bladder irritation (frequent urination, urgency, etc.) and dysuria. Late-stage lesions can also lead to upper urinary tract obstruction. Clinical diagnosis can be assisted by urine exfoliated cell examination and cystoscopy.

In terms of treatment, early bladder cancer can be treated with electrocautery or surgical resection, and chemotherapy can be given at the same time; if the tumor invades a large area of ​​the bladder, a radical cystectomy is required. When performing this type of operation, in order to allow the patient to still have the function of urinating after the operation, the doctor usually also has to perform an intestinal bladder replacement surgery, which is to cut a section of the patient's small intestine (ileum) to make an artificial bladder. The ureter is connected to one end of the artificial bladder, and the other end opens in the abdominal wall. This is also called "urostomy", and urine is discharged from the body through this channel.

The surgical design of ileal bladder replacement brings great changes to the patient's body, changes the patient's normal urination method, causes inconvenience in daily life, and has many negative effects on the patient's psychology. Some people adapt to this change relatively quickly, while others need a longer time to adjust, and for others, there is always a certain degree of regret and loss. Most patients will naturally worry about how to deal with the hygiene and cleaning of the urinary stoma, how to minimize the overflow of urine from the stoma, and how the spouse will react to the urinary stoma. It takes at least several months or even more than half a year for the patient to adapt to the change in his or her urination method and to learn the hygienic treatment of the urinary stoma. During this learning and training stage, if the handling of excrement is not mastered, urine from the urinary stoma may overflow during sleep and sexual life, causing the patient and his or her family to be at a loss and embarrassed.

Therefore, before surgery, patients should try to learn some basic knowledge about bladder cancer, understand the main treatment methods for bladder cancer and the problems that exist and need to be solved after surgery. They should make necessary preparations psychologically, actively cooperate with the treatment of medical staff, promptly master the treatment methods for postoperative residual problems, receive correct rehabilitation guidance, reduce the many inconveniences caused by the stoma itself, enable patients to restore their functions to the maximum extent, restore their self-confidence and dignity, help improve the quality of life, and promote physical and mental health.

The above are the precautions after bladder cancer surgery that we have prepared for you today. We hope it will be helpful to you. If you have any other needs, you can also consult our online consulting experts. We are always here to answer your questions.

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