Page 1 - Ureteric Stenting - Discharge Instructions
P. 1

Urological Health

                                 Ureteric stenting

                                 Discharge instructions







        A ureteric stent is placed to relieve obstruction of a ureter or to assist urine drainage from
        a kidney.



              ureteric stent is placed to relieve obstruction     Stent symptoms
        A  of a ureter or to assist urine drainage from a
        kidney. The ureter is the tube draining urine from        Although some patients feel no differently after
        each kidney into the bladder. A ureteric stent is a thin   placement of a ureteric stent, most are aware of
        plastic tube that sits within the ureter, from the kidney   some changes. It is not unusual to have some bladder
        to the bladder, allowing urine to drain freely.           discomfort, especially with urination. There may be
                                                                  increased urgency and frequency of urination. Mild
        A ureteric stent is not permanent. It may be left in for   blood staining of the urine or passing small blood clots
        a few days, or even up to several months. The stent       may be seen when a stent is in place. These symptoms
        eventually must be removed or replaced as it can          may increase with physical activity, are related to
        become obstructed with debris.                            bladder irritation from the stent and are normal.
                                                                  Restriction of strenuous physical activity may become
                                                                  necessary while a ureteric stent is in place.

                                                                  There may be mild discomfort in the back with
                                                                  urination while a ureteric stent is in place. This is
                                                                  harmless and related to backflow of urine toward the
                                                                  kidney through the stent, by-passing the one-way
                                              kidney
                                                                  valve that normally prevents such backflow. There
                                                                  may be small traces of blood in the urine, or more
                                                                  frequent and urgent urination.
                                              ureter
                                                                  Any discomfort can usually be controlled with
                                                                  acetaminophen (e.g. Tylenol™) or ibuprofen (e.g.
                                              ureteric
                                              stent               Advil™). Occasionally, discomfort is such that a
                                                                  stronger painkiller available only by prescription,
                                                                  such as acetaminophen with codeine (Tylenol #3™),
                                              bladder             may be required. Frequent or urgent urination and
                                                                  discomfort may be relieved with urinary muscle
                                              urethra             relaxant medication, such as oxybutynin (Ditropan™),
                                                                  tolterodine (Detrol™), or tamsulosin (Flomax™).
                                                                  Stent related symptoms may be troublesome, but they
                                                                  do not cause any serious physical damage. These
        The stent will often be removed in an outpatient clinic   symptoms will resolve quickly after the ureteric stent is
        by cystoscopy (insertion of a scope into the bladder      removed.
        through its outlet). In some cases the stent is required
        for a brief period of time. In these cases your urologist                            Continued on next page
        may have left a thread attached to the stent that
        comes out of the urethra to allow easy removal.
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