Painless hematuria is a red warning of bladder cancer and early medical attention is key

Mr. Peng's surgery scene.

Red Network Moment February 9 news (correspondent Peng Lu) Recently, 40-year-old Mr. Peng completed radical cystectomy and ileal in situ neobladder surgery in the urology department of Hunan Provincial Cancer Hospital, and can urinate normally within 1 month after surgery, and the indicators have recovered well, and what is more surprising is that Mr. Peng has basically resumed his normal sexual life, and now he has returned to work. Recalling this unforgettable experience, Mr. Peng was grateful to Professor Jiang Shusuan, the chief surgeon.

Urinary frequency and urgency that lasted for half a year were accompanied by intermittent hematuria, which turned out to be a tumor on the bladder

Half a year ago, Mr. Peng began to have frequent urinary urgency with intermittent hematuria, he has been transferred to Large hospitals in Beijing, Shanghai and other places to seek diagnosis and treatment, the results are not satisfactory, so he came to the Department of Urology of Hunan Provincial Cancer Hospital, the deputy director of the department, chief physician Jiang Shusuan improved the relevant examinations, diagnosed as high-grade urinary urothelial cancer. Because bladder cancer violates the muscle layer, the entire bladder needs to be removed to be cured, but according to the traditional surgical method, Mr. Peng will carry a urine bag for life after surgery and face the embarrassing situation of postoperative sexual dysfunction. This made Mr. Peng, who was in his prime, feel extremely annoyed and anxious. How can we cure the tumor while retaining normal physiological functions and return to normal life to the greatest extent after surgery?

Considering that Mr. Peng is only 40 years old and has a strong desire to continue his career, Jiang Shusuan repeatedly communicated with patients and their families, and according to the latest guidelines and the recommendations of the MDT team of urology of the hospital, formulated a treatment plan for radical cystectomy after first neoadjuvant chemotherapy. During the operation, Jiang Shusuan will help Mr. Peng rebuild a bladder to replace the original bladder, so that the patient can urinate on his own, urinating is basically the same as before the operation, and is ready to retain the erectile nerve. This not only greatly improves the quality of life, but also eliminates the doubts about engaging in the profession and preserves the sexual life, which makes Mr. Peng rekindle the hope of life.

After successfully completing three cycles of chemotherapy, Mr. Peng's review of CT suggested that the tumor had shrunk significantly, so Jiang Shusuan performed radical cystectomy and ileal in situ neobladder surgery to protect the erectile nerve, the operation was very smooth, and normal urination could be performed 1 month after the operation, and what was more surprising was that the sexual function was basically restored three months after the operation, and Mr. Peng and his family were very satisfied.

Painless hematuria is a "red warning" for bladder cancer, and hematuria should be treated as soon as possible

Jiang Shusuan said: In the mainland, the incidence of bladder cancer in men ranks eighth in the whole body tumor, and women rank second in the twelfth place. Due to the large scope of traditional surgical methods, postoperative patients not only have to face the dilemma of urinary diversion and lifelong use of urine bags, but also 90% of male patients will also have penile erectile dysfunction, which is often difficult for most patients to accept, which also makes this field a worldwide problem. Therefore, for patients with bladder cancer, it is necessary to detect and treat early, and early bladder cancer can be cured by surgery.

At the same time, Jiang Shusuan also reminded the general public that hematuria is the most common symptom of bladder cancer, especially intermittent painless hematuria, which can be manifested as gross hematuria or microscopic hematuria. In addition, bladder cancer patients also have frequent urination, urgency, dysuria and pelvic pain as the first manifestations, which are another common symptom of bladder cancer. Everyone can carry out urine exfoliation cell examination and bladder ultrasound examination 1 to 2 times a year, and once hematuria occurs, it is necessary to go to a regular hospital in time to detect bladder cancer early.