Guide
Uncle Xiao, 66 years old in Changde, appeared for unknown reasons half a year ago, with frequent urination, acute urination, and increased nocturia, and he took his own medication on Baidu on the Internet until hematuria symptoms appeared, went to the hospital to check and found that it was bladder cancer, and had infiltrated into the bladder muscle layer, and had to undergo cystectomy surgery. Yang Ke, director of the fourth urological ward of Hunan Provincial People's Hospital, reminded that the initial symptoms of many urinary system diseases are similar, and it is easy to delay treatment by taking medication according to symptoms, and related symptoms should be treated in regular medical institutions.
Examination results show a tumor of the bladder.
Uncle Xiao half a year ago appeared frequent urinary urgency pain, nocturia increased situation, felt that going to the hospital is very troublesome, on their own Internet check, found that the symptoms and prostitis hyperplasia and urinary tract infection is very similar, so purchased anti-prostatic hyperplasia drugs and anti-inflammatory drugs, at first the effect is not bad, but then the drug more and more ineffective, the previous symptoms not only did not alleviate, but there was a hematuria phenomenon, only to attract attention. Go to the local hospital for CT examination and find a lump in the right posterior wall of the bladder, consider bladder cancer, in order to seek further treatment, go to the Fourth Urological Ward of Hunan Provincial People's Hospital for treatment.
The director team of Yang Ke in the fourth urological ward performed surgery on Uncle Xiao.
After admission, the director team of Yang Department of the fourth ward of urinary tract did cystoscopy for Uncle Xiao, and found that because of the late time of medical treatment, Uncle Xiao's bladder tumor had infiltrated into the bladder muscle layer, and only the entire bladder could be removed surgically, and then a section of the ileum was taken for cutting, the ureters on both sides were sutured on the ileum, and it was used to replace the excised bladder to store urine, and finally opened an ostomy opening on the abdominal wall to drain urine, which also meant that Uncle Xiao had to wear an ostomy bag for life to collect urine. The operation was successfully completed, and Uncle Xiao was discharged from the hospital today after a period of recovery.
Uncle Xiao recovered well after surgery.
Director Yang Ke said that bladder cancer is the 10th most common tumor in the world, and there are about 82,000 new cases of bladder cancer in China every year. In recent years, the incidence of bladder cancer in mainland China has shown an upward trend, and more than ten cases of bladder tumor patients have been treated in the four urological wards this month, most of which have painless gross hematuria as the first symptom, and many patients have manifested symptoms such as frequent urination, urgency, and pain in urination. Bladder protection therapy can be carried out in the early stage of bladder cancer, only need to remove the mass and cooperate with bladder perfusion, the current prognosis is very good, after regular treatment after 5 years survival rate of up to 90%. However, if the tumor infiltrates into the muscle layer, the entire bladder should be removed, and the abdomen needs to carry an ostomy bag for life to collect urine, so that the quality of life is significantly reduced, if it is widely metastasized, the survival rate will also be significantly reduced, and the 5-year survival rate of some advanced bladder cancers is even only 20%-30%, so early screening, early treatment, and regular follow-up are crucial for bladder cancer patients.
Director Yang Ke reminded that the initial symptoms of urinary diseases are similar, such as urinary tract infections, urinary stones, prostatic hyperplasia, urinary tumors can appear frequent urination, urgency, gross hematuria, etc. When these symptoms occur, do not take medication on your own and delay the best treatment period, you must go to the regular hospital for treatment in time.
Text: Urinary Ivy Ward Cai Lingzhi Shang Kaiping
Editor: Wu Jing
Review: Zhou Jinrong