Precautions after cystectomy

Transurethral resection of the bladder is a common surgical method that can remove tumors and prevent tumor recurrence. After transurethral resection of the bladder, you should be aware of some precautions. Patients should undergo regular chemotherapy, pay attention to diet, and avoid some side effects of chemotherapy. If symptoms of frequent urination and urgency appear after chemotherapy, you should be checked in time, as there may be some urinary tract infection.

Precautions after cystectomy

1. Regular intravesical chemotherapy aims to prevent tumor recurrence to the greatest extent possible. The intravesical chemotherapy regimen is "piropyrim 40 mg/epirubicin 50 mg + 40 ml of water for injection" once a week for eight consecutive times. Thereafter, the perfusion was changed to once a month until two years after the operation. If there is no recurrence two years after surgery, perfusion can be stopped, or you can follow the doctor's advice. (There are many drugs used for intravesical chemotherapy, such as: pirarubicin, epirubicin, epirubicin, mitomycin, hydroxycamptothecin, etc., all of which can be used. You can choose according to local conditions or follow the doctor's advice). 2 Drink less water before intravesical chemotherapy and drink more water after intravesical chemotherapy to reduce the stimulation of the drug on the bladder by urinating more. Take oral anti-inflammatory drugs if necessary to prevent infection. Chemotherapy drugs generally only need to be retained in the bladder for 30 minutes.

3. If symptoms such as frequent urination, urgency, and pain occur after intravesical chemotherapy, urinary tract infection may have occurred. Go to the hospital for diagnosis and treatment in time. If necessary, suspend intravesical chemotherapy until the infection is cured before continuing. 4. Regular check-ups are required: The check-ups include bladder ultrasound and cystoscopy. The check-ups are calculated from the date of surgery: ultrasound or cystoscopy should be performed three months later, and cystoscopy or ultrasound should be performed three months later. And so on. It is not recommended to only check with B-ultrasound, because B-ultrasound cannot detect small recurrent tumors. Cystoscopy should be performed at least once every six months. 5. If hematuria occurs during the follow-up period, you should go to the hospital in time to check whether it is a tumor recurrence. 6. For other review items such as liver and kidney function, visceral ultrasound, etc., you should follow the doctor's advice. 7. Quit smoking and drinking, and eat less spicy and stimulating foods. Drink less coffee, strong tea and other stimulating beverages.

Surgical procedures

The general steps of the operation are: ① Retrograde insertion of the resectoscope.

② The width of the electroresection is 1.5 to 2 cm, so that the posterior urethra and the bladder trigone are close to the same plane.

③After electroresection, complete electrocoagulation to stop bleeding.

④Then insert a F18-20 three-chamber balloon catheter, fill the balloon with water, and apply pressure to stop bleeding.

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