What are the precautions after prostate cancer surgery?

Prostate cancer is a common type of male reproductive cancer, and it is also something that all male compatriots need to pay attention to. After surgical treatment of prostate cancer, patients need to pay attention to many aspects of care, such as care for urinary incontinence, care for urethral anastomosis stenosis, and attention to keeping the drainage tube open, etc. Therefore, patients should not think that they are relieved after the surgery, but in fact, they still need to pay attention to the nursing work.

1. Nursing for urinary incontinence after prostate cancer surgery

Postoperative urinary incontinence is caused by urethral sphincter injury or traction, which may lead to permanent urinary incontinence or temporary urinary incontinence. The patient's inability to control urination seriously affects the quality of daily life, and long-term urinary incontinence is prone to secondary urinary and perineal skin infections.

Therefore, patients who experience temporary urinary incontinence after the removal of the catheter should be fully prepared mentally. In order to cooperate with the continued treatment after surgery, patients who have recovered from surgery can be invited to talk about their personal experiences, overcome the tension and anxiety of postoperative patients, and build confidence in treatment.

Instruct patients to perform pelvic floor muscle exercises, which involves lying on the bed to reduce abdominal pressure, increase urethral closure pressure, and contract the anus at the same time.

2. Nursing of urethral anastomotic stenosis after prostate cancer surgery

If there is progressive thinning of the urine stream and difficulty urinating, the possibility of urethral anastomosis stenosis should be considered. Urethral dilation can relieve it. Before dilation, explain to the patient the method and necessity of urethral dilation, possible complications and body pain, and at the same time ensure the cleanliness of the urethral opening to avoid complications.

3. During prostate cancer surgery, care should be taken to keep the drainage tube unobstructed

Keep the drainage tube unobstructed and observe it at all times. Do not press or twist it, and do not rotate it at an angle to avoid affecting drainage. Attention should also be paid to the fixation of the drainage tube to avoid displacement and prolapse.

When using a drainage tube, pay attention to the influence of gravity. The position of the drainage bottle or drainage bag should not be higher than the plane of the patient's intubation drainage tube lumen. The principle of drainage is called "water flows downward". When moving a patient, the drainage tube should be clamped first; when the drainage exceeds half of the bottle, it should be poured out to prevent backflow contamination caused by excessive liquid level.

Keep all drainage tubes clean when they come into contact with wounds or mucous membranes to prevent infection. Record the color, nature, and amount of drainage and report it to your doctor promptly.

Diet after prostate cancer surgery

1. Eat more fresh fruits and vegetables with anti-cancer effects, such as carrots, white radish, cabbage, cauliflower, garlic, asparagus, tomatoes, apples, hawthorn, strawberries, kiwis and bananas. They are not only rich in various vitamins and trace elements, but also contain saponins and flavonoids, which have anti-cancer effects.

2. Eating mushrooms, enoki mushrooms, kelp and other seaweed foods can improve human immunity and prevent cancer. The interferons contained in them can effectively inhibit the spread of cancer cells. Therefore, bacteria and algae foods should be added to the diet.

3. Choose foods from high-protein foods. Try to choose high-quality foods that are high in protein, low in fat, and low in cholesterol, such as various fish and shrimp. You can make some fish and shrimp dishes that are easy to digest.

4. Five kinds of grains can provide energy. Fresh whole grains and various beans can be made into staple foods, which not only provide sufficient energy for the human body, but also have anti-cancer effects, such as corn, coix seed, whole wheat flour, black rice, oats, etc.

5. Ensure the supply of essential fats. Ensuring the supply of essential fats is also very necessary for postoperative recovery. When choosing high-protein foods, limit the intake of fat in pork and increase the supply of deep-sea fish and poultry because these foods contain ω3 essential fatty acids. Edible oils can be olive oil, sesame oil, etc.

How long can a patient with advanced prostate cancer live?

Whether the treatment method is appropriate is the most important factor affecting the survival time of advanced prostate cancer. For the choice of treatment methods for advanced prostate cancer, the possibility of surgical resection is very small. Commonly used clinical treatment methods include radiotherapy and chemotherapy, endocrine therapy and biological immunotherapy. The commonly used radiotherapy method for patients with advanced prostate is palliative volume-reducing radiotherapy of the prostate region or metastatic lesions, which has a relatively direct killing effect on cancer. However, since radiotherapy will inevitably cause damage to normal cells, the irradiation intensity, irradiation range and irradiation time should be carefully selected according to the overall situation. Chemotherapy is also an adjuvant therapy for advanced prostate cancer. It can be combined with radiotherapy and biological immunotherapy to prolong survival and improve quality of life to a certain extent. In view of the toxic side effects of radiotherapy, chemotherapy and endocrine therapy on the human body, they can be combined to treat advanced prostate cancer.

In addition, the improvement of the patient's physical function is also an important factor related to how long prostate cancer patients can survive in the late stage. Only with good physical function and strong immunity can patients resist the development of cancer and tolerate various drug treatments. Therefore, for patients with advanced prostate cancer, it is extremely important to improve their immune function and enhance their resistance to tumors. In terms of diet, patients with advanced prostate cancer should follow the principle of low calories, low fat and high vitamins.