double J stent

What is a double J stent?

A double J stent is a soft tube that is placed during surgery. This tube has a curl at both ends
designed to prevent the stent from moving down into the bladder or up into the kidney. Some stents
have a string attached to them which exits from the urethra. Stents are placed in the ureter which is
the tube that runs from the kidney to the bladder.

Why is a stent placed?

A stent is placed to prevent or relieve a blockage in the ureter. After
many stone surgeries the small pieces of stone can drop down into the
ureter and block it, causing severe pain and occasionally infection. A
stent allows the ureter to dilate, which makes it easier for stones or
stone fragments to pass.
Other surgeries in which stents are used includes:
• Removal of tumors from either the ureter or the
kidney
• Repair of scars in the ureter
• Removal of tumors from around the ureter

What does it feel like to have a stent in your ureter?
The stent opens up the valve that prevents urine backing up into the
kidney from the bladder when you urinate. This means that when you
urinate, especially at the end, you may feel a slight tugging or stretching
sensation in your back. If someone is very skinny or has very large
back muscles, the stent sometimes can push on a nerve lying in the
back of the abdomen, producing a temporary burning sensation in the
back or in the upper thigh.
Most people will have some bladder irritation, especially at the end
of urination. Often there is some frequency and burning with urination.
Jan-08
The stent can scratch the bladder lining so a small amount of bleeding can be expected either from
the stent or the operation for which the stent was needed. Try to force fluids to flush out the bladder.
Drink enough fluid to keep the urine watermelon colored or clearer. This bleeding may last as long as
the stent is in place.
What can be done to treat the symptoms?
If you are having nerve irritation, try to decrease your activity, soak in a warm bath and take pain
medication.
Should you have problems with urinary urgency, frequency and/or bladder discomfort, there are
several medicines that we can give you:
• Pyridium is a bladder anesthetic that will decrease irritation from the stent. This
medicine makes the bladder less sensitive. It normally turns the urine a deep pumpkin
orange. This medicine is taken three times a day on an as-needed basis.
• If bladder spasms are severe, or you are bothered by severe urinary frequency or
urgency, you may take a bladder-relaxant medicine such as Detrol or Ditropan. They
do have side effects of dry mouth, constipation, dry eyes and occasional difficulty
emptying the bladder out. If these side effects are too bothersome, stop the medicine.
Should the side effects be less bothersome, cut the dose of medicine in half.

How long do I need to keep the stent in?

Stents are left in for varying lengths of time depending upon the reason for which the stent was
placed. Talk to your doctor about how long you can expect to have to keep your stent. Stents
usually are not left in for longer than three (3) months. IF YOUR STENT HAS BEEN LEFT IN FOR
LONGER THAN 3 MONTHS, CONTACT YOUR UROLOGIST.

How are stents removed?

Stents with a string attached are pulled out gently by the patient, nurse or doctor. Stents without
strings are removed in the urologist’s office by using a cystoscope to look in the bladder. It is
recommended to drink 2 - 3 cups of fluid immediately after the stent is removed. You can expect
some pain in the side or lower abdomen; some burning with urination and some blood in the urine for
2 - 3 days after the stent is removed

10 common Questions about this surgery

1How long can a double J stent stay in?
Once the stent is removed, the symptoms resolve, usually within 24 to 48 hours. In some cases the stent can be removed just a few days after the procedure, while in other cases your Urologist may recommend that it stay in place longer. In general, a stent should be removed (or exchanged) within 3 months.
2Are ureteral stents permanent?
The stent is run over the guide wire and placed in its permanent position within the ureter. ... This will be left in place until a ureteral stent can be placed or the ureteral blockage is resolved. Most commonly, the nephrostomy catheter is connected to an external bag that collects urine.
3What happens if a stent is left in too long?
If left in place for too long, a stent can become encrusted with a “crystal” (stone-like) coating on its surface. This does not normally cause problems although it may worsen some urinary side-effects (especially pain & bleeding).
4Is it painful to remove kidney stent?
Purpose: Ureteral stent removal is a source of patient morbidity. ... The majority of stents (44%) were removed by office cystoscopy while 39% had their stents removed by string. Mean pain during stent removal was 4.8 out of 10 with 57% reporting moderate-to-severe pain levels of 4 or more.
5Can kidney stones pass stents?
The doctor might put a tube called a stent into your ureter (urine flows through this from your kidneys to your bladder). This stent helps the pieces of stone pass. ... The procedure can cause side effects such as cramps or blood in your urine.
6Is DJ stent removal painful?
BACKGROUND AND PURPOSE: Urology practices frequently encounter individuals who experience various degrees of pain/discomfort after ureteral stent removal. ... On univariate analysis, stone basketing and indwelling stent discomfort correlated positively with pain after stent removal.
7Are ureteral stents painful?
You may feel some pain when you urinate or do strenuous activity. You also may notice a small amount of blood in your urine after strenuous activities. ... After the procedure, urine may flow better from your kidneys to your bladder. A ureteral stent may be left in place for several days or for as long as several months.
8How long does a stent last?
More than a year after therapy, it may be a bit higher than with bare metal stents. Even though drug eluting stents have a higher re-obstruction rate, most studies go only four to five years after stenting and indicate that the risk of re-obstruction is generally about 1 to 2 percent for either type of stent.
9How long do you stay in the hospital after having a stent put in?
Recovery from angioplasty and stenting is typically brief. Discharge from the hospital is usually 12 to 24 hours after the catheter is removed. Many patients are able to return to work within a few days to a week after a procedure.
10Can you drink with kidney stents?
You can drink alcohol in moderation, but this may interfere with some of your medications; please check with your doctor if you are taking any tablets. Drinking plenty of fluids cuts down the risk of infections and will reduce the amount of blood in your urine.

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