RADICAL CYSTECTOMY AND NEOBLADDER

Radical Cystectomy And Neobladder

Discharge Instructions

Continue walking

The walking will help you build strength. Gradually increase the amount of walking you do each day. Take planned rest periods during the day. The best gauge is your own body and how you feel. It is very important that you continue walking when you are discharged from the hospital. Not only will this build strength but will also aid in preventing blood clot formation in the legs.

Abdominal binder

As you have an abdominal incision, it is advisable to wear the abdominal binder provided to you whenever you are sitting up and/or ambulating. The binder can be safely removed when lying down for prolonged periods like sleeping.

Avoid bending for 3 months

If you must pick something up, bend with your knees and not your waist.

Avoid heavy (Greater than 5 pounds) lifting for 3 months

Anything you need to brace yourself to pick up is too heavy. Also avoid strenuous activity.

Stairs should not be avoided

Take them slowly at first. You may wish to group your activities, so that you do not have to make many trips up and down stairs during the first week you are home.

Driving should be avoided

Driving should be avoided for at least 4 weeks after surgery or until you are pain free without medication. Take breaks every couple of hours if you are on extended trips. Get out of your car and walk around a bit. Avoid riding bicycles/motorbikes for 3 months

Driving should be avoided

Driving should be avoided for at least 4 weeks after surgery or until you are pain free without medication. Take breaks every couple hours if you are on extended trips. Get out of your car and walk around a bit. Avoid riding bicycles/motor bikes for 3 months

Bathing /Shower Instructions

Patients can scrub their bodies upon discharge from the hospital with lukewarm water and soap. Bathing/ showering should be avoided as you risk getting your incisions/dressings wet. Tub baths or hot tubs in the first 2 weeks are discouraged as this will allow for prolonged soaking of your incisions and increase the risk of infection. If your wound sites get wet, these must be patted dry immediately after scrubbing. You can resume bathing/showering with soap and water once the wounds have healed and sutures have been removed.

Managing your incisions

Urine infection

Urine can have whitish mucus flakes. This mucus is produced by the bowel segment used to reconstruct your new bladder. This is nothing to worry about.
If in addition, urine becomes foul smelling, this may indicate a urinary infection. Please contact us immediately

Urine leakage

Your new bladder like that of a baby will initially leak involuntarily. It needs to be trained. Do not worry about initial urinary leakage
Continence will regain slowly Practice Kegel exercises as advised.

Voiding instructions​

Groin/Genital Swelling

Right after surgery, you may have some swelling in your genitals and groin region. There may also be some discharge from your penis/vagina. This is normal, the swelling and discharge should go away over a few weeks.

Diet

While you are recovering, your appetite may be smaller than it was before surgery.
Eat several small meals throughout the day instead of 3 large meals. Eating like this will help your digestion and give you energy throughout the day.

Changes in bowel function​

Chest exercises​​

It is important to take care of for your lung health to avoid pneumonias.​

For this please do the following:

Medications:

Red Alert Signs: Reasons to Call the Physician

Clinical Service

Opportunity to Help

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OPD Timings: 09:00 am to 05:00 pm (All Weekdays except Sunday and Holiday)
Emergency Services: 24x7 All Weekdays

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