Post-Surgery Life Questions for Umbilical Ureteral Adenocarcinoma Patients

Questions about life after surgery for urachal adenocarcinoma?

Hello, Doctor: I was diagnosed with a rare umbilical cord adenocarcinoma in mid-January of this year and underwent a partial umbilical cord and bladder resection surgery on March 3 at the Veterans General Hospital.
The pathology report indicated no signs of metastasis in the bladder or lymph nodes.
I am currently recovering, but I have some lifestyle questions I would like to ask.
Can I still occasionally consume foods like coffee, barbecued items, fried foods, tea, and spicy dishes like a normal person? During company gatherings, friends' birthdays, or holidays, is it acceptable for me to have a few drinks occasionally? I have relatively thin hair and usually perm it every two to three months to make it look fuller.
I read online that hair dyeing is bad for the bladder; is perming also a concern? I came across information suggesting that flaxseed oil is helpful in preventing recurrence.
Would you recommend it, or do you have any other dietary suggestions to help prevent recurrence? Additionally, I have a small incident to discuss.
After having my catheter removed on March 11, I experienced bleeding during urination that night, with urine almost resembling the color of tomato juice.
I went to the emergency room at the Veterans General Hospital, where the doctor examined me, administered a hemostatic injection, and conducted X-rays, ultrasounds, urinalysis, and blood tests.
They concluded that I likely had a microvascular rupture from the surgical site, prescribed hemostatic medication and antibiotics, and sent me home.
After taking the medication as prescribed, the blood in my urine gradually disappeared.
However, my penis and lower abdomen were swollen for two days, and during those nights, I noticed my underwear was completely wet, almost as if I had wet the bed.
Fortunately, after two days, the swelling subsided, and the bedwetting issue resolved.
Could you please explain what this situation might be? I apologize for the many questions, and I appreciate your help!

DENNIS, 30~39 year old female. Ask Date: 2016/03/18

Dr. Li Xinyi reply Urology

Avoid barbecued and fried foods.
For everything else, do not overindulge and be cautious about food safety.
Hair dyeing and perming may potentially have adverse effects on the bladder.
A small note: this could be a temporary infection or inflammation.

Reply Date: 2016/03/18

More Info

Post-surgery life after a diagnosis of umbilical ureteral adenocarcinoma can be challenging, and it's understandable that you have numerous questions regarding your recovery and lifestyle choices. Here’s a comprehensive response to your inquiries based on current medical knowledge and practices.

Dietary Considerations
1. Food Choices: After surgery, it is generally advisable to maintain a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. While occasional indulgence in coffee, barbecued foods, fried items, tea, and spicy foods is usually acceptable, moderation is key. These foods can sometimes irritate the bladder or gastrointestinal tract, especially if you have had surgery involving the bladder. It's best to monitor how your body reacts to these foods and adjust accordingly. If you notice any discomfort or changes in your urinary habits after consuming these items, consider reducing their intake.

2. Alcohol Consumption: Regarding alcohol, moderate consumption is typically permissible unless otherwise advised by your healthcare provider. Alcohol can irritate the bladder, so if you choose to drink, do so in moderation and pay attention to how your body responds. If you experience any adverse effects, it may be wise to limit or avoid alcohol altogether.

Hair Treatments
3. Hair Treatments: Concerns about hair treatments such as dyeing or perming after bladder surgery are common. While there is no direct evidence linking hair treatments to bladder health, some individuals prefer to avoid chemical treatments during recovery due to potential sensitivities. If you have been regularly perming your hair and have not experienced any issues, it may be fine to continue, but consider discussing this with your healthcare provider for personalized advice.

Supplements and Preventive Measures
4. Flaxseed Oil: Flaxseed oil is often touted for its potential health benefits, including anti-inflammatory properties. However, while it may contribute to overall health, there is limited evidence supporting its effectiveness in preventing cancer recurrence. It’s essential to consult with your healthcare provider before starting any new supplements to ensure they are appropriate for your situation.

5. Preventive Diet: Instead of focusing solely on specific supplements, consider a diet rich in antioxidants, fiber, and healthy fats, which may support overall health and potentially reduce cancer recurrence risk. Foods such as berries, leafy greens, nuts, and fatty fish are excellent choices.

Post-Operative Symptoms
6. Post-Surgery Bleeding: Experiencing blood in your urine post-surgery, especially after the removal of a catheter, can be concerning. It is not uncommon for minor bleeding to occur due to irritation or micro-tears in the surgical area. The fact that your symptoms improved with treatment and that you were monitored by medical professionals is reassuring.
7. Swelling and Urinary Issues: The swelling in your penis and lower abdomen, along with the episodes of wetting, could be attributed to a few factors. Post-surgical swelling can occur due to fluid retention or inflammation. The sensation of "wetting" could have been related to a temporary loss of bladder control, which can happen after bladder surgery. This is often a transient issue as your body heals and regains normal function. If these symptoms persist or worsen, it is crucial to follow up with your healthcare provider to rule out any complications.

Conclusion
In summary, while you can enjoy a variety of foods and drinks post-surgery, moderation and self-awareness are essential. Hair treatments can generally continue, but it’s wise to consult your doctor. Focus on a balanced diet rich in nutrients, and be cautious with supplements. Lastly, your post-operative symptoms, while concerning, seem to be within the realm of normal recovery, but always keep an open line of communication with your healthcare team for any ongoing issues. Your health and comfort are paramount, and your questions are valid as you navigate this recovery process.

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