transurethral bladder biopsy

Intravesical lesions of new organisms or chronic cystitis of unknown cause. Treatment of diseases: urinary tract cancer bladder cancer Indication Intravesical lesions of new organisms or chronic cystitis of unknown cause. Contraindications Poor coagulation mechanism, the tumor is located at the top of the bladder or above the neck of the bladder, and it is difficult to operate. Preoperative preparation 1. Cystoscopy disinfection: steam sterilization with 40% formalin (formaldehyde) solution for 20 minutes or soaking with 10% formalin solution for 20 minutes. The cystoscope cannot be disinfected by boiling, alcohol, 0.1% cleansing and soaking to avoid damage to the bladder speculum. 2. The surgeon prepares: wash hands, wear disinfection clothes, and wear sterile gloves. The principle of aseptic operation should be emphasized to avoid complications such as iatrogenic urinary tract infections. 3. Patient preparation: Let the patient empty the bladder and take the stone. The genital area is disinfected with soapy water, sterile saline and a new solution. Spread the disinfection hole towel to expose the urethra. 4. Increase the biopsy forceps through the bladder. Surgical procedure In the lithotomy position, the urethra was used to explore the urethra, and the cystoscope model was decided. First, the cystoscopy, affirmation of the lesion, and then use the surgical microscope, insert biopsy, can clamp the tissue of about 2mm3 from the tumor or suspected lesions, in order to determine the tumor or in situ cancer infiltration range, can be Take 2 to 3 pieces of the lesion. General bladder wound hemorrhage stops within 2 to 3 minutes, or persists, can be electrocoagulated to stop bleeding. Postoperative diet 1, the diet should pay attention to light, mostly with food porridge, noodle soup and other foods that are easy to digest and absorb. 2, can eat more fresh fruits and vegetables to ensure the intake of vitamins. 3, give liquid or semi-liquid food, such as a variety of porridge, rice soup and so on.

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