How does bladder cancer penis ache treat?

summary

Many cancers can be recuperated by dietotherapy. The symptoms are mild to nothing, and some of them have successfully controlled the development of the disease. Today, let me share with you how to treat penile pain of bladder cancer?.

How does bladder cancer penis ache treat?

First, intravesical instillation therapy is carried out in the outpatient department, which is very simple. It is necessary to insert the catheter, inject the drug into the bladder along the catheter, and then remove the catheter. After the appointed time (usually half an hour to 1 hour), the patient urinates and excretes the perfusion drug. Because chemotherapy drugs only act on bladder mucosa, systemic absorption is little, so there are few serious systemic side effects of chemotherapy, such as bone marrow suppression, malignant vomiting, alopecia, etc., to urinary tract infection is more common, causing frequent micturition, dysuria and other discomfort.

Second: does invasive bladder cancer still need perfusion? Intravesical instillation therapy can only reduce the recurrence and progression of non muscle invasive bladder cancer, that is, superficial bladder cancer. It has no effect on muscle invasive bladder cancer. The standard treatment for muscle invasive bladder cancer is radical cystectomy. Even in special cases, bladder conserving therapy should be combined with intravenous chemotherapy rather than intravesical chemotherapy.

Third: there are two kinds of perfusion drugs, one is chemotherapy, the other is immunotherapy, that is BCG. Chemotherapy drugs are most commonly used, such as epirubicin, pirarubicin, mitomycin, etc., and the total effective rate of these drugs is basically the same, so there is not much difference in drug selection at the beginning. But if relapse occurs in the course of treatment, we usually consider to try other drugs, because the total effective rate of each drug is basically the same, but the specific effect on each patient may be different. The side effect of BCG is stronger than that of ordinary chemotherapy drugs, and there will be strong frequency of urination, urgency of urination and even tuberculosis dissemination. For patients with medium and low risk, the effect of BCG is similar to that of ordinary chemotherapy drugs, but for high-risk patients, the effect of BCG is better than that of chemotherapy drugs. Therefore, the first choice for low-risk patients is chemotherapy, and the first choice for high-risk patients is BCG. The specific risk stratification (low risk, medium risk and high risk) should be judged by the number, size, recurrence and pathology of the tumor

matters needing attention

The urine should be emptied before bladder perfusion, and it should be confirmed that there is no large amount of water and diuretics in the past 2 hours. Because the drug concentration and action time are very important for the curative effect, we need to avoid diluting the drug in urine or not holding enough time. During perfusion, the body should be relaxed to relax the muscles around the urethra, so as to facilitate the catheter to enter the bladder smoothly. If there is urethral stricture, the patient can explain to the outpatient doctor in advance, so as to replace the appropriate size catheter. After micturition, more drinking water is encouraged, residual drugs are discharged from the body and urinary tract infection is prevented. During the period, tea, coffee, alcohol and cola drinks are avoided to reduce bladder irritation.