How to behave after a bladder tour?
Many patients who have experienced an operation on the organs of the genitourinary system do not know how to behave after. TOUR of the bladder needs a rehabilitation period. Immediately after the procedure, the patient is prescribed antibacterial therapy, which lasts 5-7 days.
1-2 days after TUR, the doctor removes the urinary catheter. After its removal, there may be sharp pains and burning in the urethra, clean urination to the toilet, urination with a small volume, the presence of impurities or blood clots in urine. Similar phenomena occur after 7-14 days.
Immediately after transurethral resection, the patient is shown a bed rest and a dynamic observation in the urologist. After discharge from the hospital, the patient receives nutritional recommendations and a course of physiotherapy procedures that speed up the recovery process.
Postoperative period after bladder tour
Time after any surgery is very responsible. The postoperative period after TUR of the bladder largely depends on the indications for surgical intervention. The patient is shown drug therapy, a special diet and a course of physiotherapy.
During rehabilitation, it is contraindicated to eat spicy or acidic foods, alcohol and drinks with caffeine. If these recommendations are not observed, it is possible to change the composition of urine and its irritating effect on a fresh wound. First time after endovideoscopy should drink a lot of fluids. This is necessary for effective washing of the bladder, preventing infectious infections and constipation.
Physical stress should be limited within 2-3 weeks. Sexual activity is also prohibited until the doctor gives permission. During defecation should not strain and, if necessary, should take laxatives. If the above contraindications are violated, there is a risk of bleeding and a number of other dangerous complications.
Chemotherapy after a bladder tour
If transurethral resection is prescribed for malignant neoplasms, the patient is shown chemotherapy. After TUR of the bladder, it is necessary to prevent recurrence of the disease or the destruction of metastases in other organs and tissues. Immediately after the operation, the chemotherapy is administered to the affected organ and an irrigation system is installed to control the discharge from the urea.
- If malignant disease occurs in the early stages, then intravesical chemotherapy is used. This method is performed after TUR of tumors that have a relapse rate of 60-70%. The drug is injected into the organ and left there for several hours. The medicine is removed during urination. Therapy is carried out once a week for several months.
- With recurrent tumors that penetrate into neighboring organs, tissues and regional lymph nodes, systemic chemotherapy is used. The main goal of such treatment is to destroy the remaining cancer cells.
Chemotherapy is carried out both before and after TUR. Chemotherapy drugs can be administered in cycles. Most often, patients are prescribed a combination of: Methotrexate, Vinblastine, Doxorubicin and Cisplatinum. Medications are administered intravesically, that is, through a catheter, intra-arterially or endolymphatically.
Recovery after a bladder tour
After a surgical endoscopic procedure, the patient is waiting for a course of rehabilitation aimed at normalizing the work of the body. Recovery after TUR of the bladder takes about 1-2 months. The rate of recovery depends on the reason for the operation and the individual characteristics of the patient's body.
The patient spends the first days after the procedure in a hospital. With the help of an established catheter, the bladder is continuously washed from the blood or medication is administered. The patient is prescribed a course of antibiotics. Also shown is a gentle diet and bed rest. After 2-3 days the patient is discharged home, and a course of physiotherapy is prescribed to speed recovery after surgery.
If TUR was carried out because of malignant neoplasms in the bladder, then after the procedure, systematic cystoscopy is necessary. Diagnosis is associated with a high risk of recurrence of the disease. The first three years after TUR, cystoscopy is performed every 3-6 months, and then once a year. If during the examination signs of recurrence are revealed, then a repeated transurethral resection with subsequent chemotherapy is indicated.
Sex after bladder tour
Is sex possible after TUR of the bladder, this is a natural issue of interest to many patients. In most cases, after transurethral resection of the bladder, sexual activity is contraindicated for 1-2 months. This is due to the complications of the rehabilitation period and the ban on any physical activity. Compliance with this recommendation will accelerate the recovery period and the resumption of sexual activity.
Eating after a bladder tour
There are a number of recommendations regarding nutrition after TUR of the bladder, which must be observed for normal recovery of the body. The first few days after TUR, the patient is given an intravenous infusion of nutrients. Immediately after the operation, it is contraindicated to drink, water is only allowed from the second day. After this, the patient is prescribed a drinking diet to normalize the emptying of the bladder. During this period it is necessary to exclude such products from the diet:
- Salty and spicy.
- Fried and fatty.
- Filled broths.
- Good pastries.
- Carbonated and alcoholic drinks.
- Products with preservatives or artificial additives.
Once the intestinal peristalsis is restored, dietary fat-free meals are added to the diet. A fractional power regime is shown, that is, at regular intervals and in small portions.
Broths with mashed meat, vegetables, fish are allowed. You can eat boiled porridge, steam cutlets and boiled meat. The menu should be fresh vegetables, fruits and berries, but not sour. Since the second week, strict restrictions on nutrition are removed, and the diet can be returned to a preoperative form.
Diet after bladder tour
For effective recovery, a special diet after TUR of the bladder is shown. Therapeutic diet excludes products with irritating effect on the mucosa of the operated organ. The first few days after surgery, the patient is fed by intravenous injection. From the second day you can consume water. From the third day, diet-free meals are allowed: boiled porridges on water and without oil, chicken broth, cottage cheese. On the fifth day in the diet, you can enter meat, steamed, baked vegetables.
- Low-fat varieties of fish and meat.
- Fresh, boiled or baked vegetables (except cabbage, tomato, radish, sorrel, onion and garlic).
- Sour milk products and milk.
- Fresh sweet fruits and berries.
- Spicy dishes, spices and condiments.
- Marinades and pickles.
- Filled broths.
- Fried, fatty, smoked.
- Strong tea or coffee.
- Good pastries and sweets.
Be sure to adhere to the drinking regime - to consume at least two liters of liquid per day. This is necessary to reduce the aggressive action of uric acid and the washing out of bacteria. Recommended herbal teas, cranberry or cowberry mors, unsweetened and not strong green or black tea, as well as pure drinking or mineral water without gas.
In addition to diet, after transurethral resection, it is necessary to consult regularly with a doctor and undergo follow-up examinations. This is necessary to evaluate the process of recovery of the operated area and timely detection of recurrences of the disease that caused the operation.
If after discharge from the hospital the following symptoms appear, you should immediately seek medical help:
- Obstructed urination or inability to exercise it.
- Pain, burning, frequent urge to the toilet, the presence of blood in urine for longer than 3-5 days after surgery.
- Symptoms of infection, fever, chills.
- Painful sensations that do not go away after taking medications for relief of discomfort.
- Attacks of nausea and vomiting.
- Violation of libido.
TUR of the bladder is an effective diagnostic and therapeutic method. But, if the above symptoms have appeared, the patient is given additional examinations. As a rule, this is cystoscopy, magnetic resonance imaging of pelvic organs and a complex of laboratory studies.