kidney stone surgery stent removal

kidney stone surgery stent removal

kidney stone surgery stent removal

A ureteric stent is a thin plastic tube that was inserted into your ureter (the tube which connects the kidney to the bladder) when you had your kidney transplant to ensure you were able to pass urine after the operation. Stents are not designed to be in the body for a long period of time and are usually removed between four and six weeks after a kidney transplant

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In the vast majority of endoscopic kidney stone procedures, ureteral stents are left in the ureter to both prevent obstruction of the kidney and facilitate passage of fragments of stone. It is imperative that the urologist explain to the patient that these devices are temporary and must be removed within a reasonable timeframe after surgery— usually a few weeks to a month.

Appropriate follow-up for removal is especially critical during emergency procedures and/or when patients are traveling and a stent is placed by a urologist far from the patient’s normal medical providers. Many urologists and institutions use stent tracking software systems to ensure these devices are removed.

As with all surgical procedures, close attention to appropriate antibiotic prophylaxis is very important in kidney stone surgery. It is important that urologists assess the appropriate perioperative antibiotics based on local resistance patterns, patient factors, and results of previous urine cultures. Additionally, obtaining samples of urine from the bladder, kidney and, if possible, an indwelling stent or nephrostomy tube (if one is present) at the time of surgery can assist in the management of post-op infections.
Operations for kidney stones comprise a significant portion of urologic practice and are thus a common cause of medical liability legal action. The urologist should identify and treat a handful of serious complications when performing kidney stone surgery. Of particular interest are retained ureteral stents, perforation of the ureter, and infectious complications of urinary stone surgery.

 

10 common questions about kidney stone surgery stent removal

1Is it painful to have a stent removed?
The procedure, which usually takes only a few minutes and causes little discomfort, is performed in an outpatient clinic or ambulatory surgery center. Most patients tolerate having the stent removed using only a topical anesthetic placed in the urethra.
2How long does a stent stay in after kidney stone surgery?
four to seven days A ureteral stent is typically removed four to seven days after surgery during a short office procedure, although sometimes the stent must stay in longer
3Why have a stent after kidney stone surgery?
Ureteroscopy is a surgical procedure that can be used to remove kidney stones from the ureters, the tubes that connect the kidney with the bladder. ... A stent is a small, thin tube that can be left in the ureter after the stone is removed to help pass urine and prevent new stones from blocking the tube
4Can I remove my own stent?
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. There are two ways to remove ureteral stents.
5How do they remove a stent after kidney stone surgery?
A ureteral (say "you-REE-ter-ul") stent is a thin, hollow tube that was placed in your ureter to help urine pass from the kidney into the bladder. Ureters are the tubes that connect the kidneys to the bladder. There are several ways to remove the stent. It may have been removed with a string.
6Are you put to sleep for a kidney stent?
The stent keeps the ureter open. After the stent is placed, urine should flow better from your kidneys to your bladder. You will get medicine to make you sleep and to prevent pain during the procedure.
7Can Coke dissolve kidney stones?
On several websites she came across a remedy known as the “Coke treatment,” which was purported to dissolve kidney stones and prevent stone recurrence. ... some variations of this treatment that can be found on the web also recommend drinking water for several hours after the treatment
8How painful is a stent from the kidney?
Some patients experience agonizing pain when a temporary stent is implanted after kidney stones are removed. A year-long study is looking into why some patients experience intense pain with stents. ... Ureteroscopy is a procedure in which a small scope is inserted into the urethra and advanced to the bladder and kidneys
9Do you always need a stent after kidney stone surgery?
A stent is not necessary for all patients who have SWL. In fact it is not needed for most patients. Stents can cause blood in the urine, frequent urination, and discomfort, although these symptoms generally improve after a few days. A stent should not be left in place for more than three to six months
10Do you have to have a stent after kidney stone removal?
The doctor will use the string to pull out the stent when you no longer need it. 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.

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