What is a Ureteral Stent?
A ureteral stent is a slender, flexible tube temporarily placed within the ureter, the narrow duct connecting the kidney to the bladder. Its function is to maintain an open pathway for urine flow from the kidney to the bladder. It is often used after procedures like kidney stone removal or other urological interventions to ensure proper drainage and prevent complications. Once its purpose is served, the stent is removed, typically in a straightforward outpatient procedure.
What to Expect Immediately After Removal
Patients experience distinct sensations during and immediately following ureteral stent removal. The removal process, typically lasting a few seconds, may cause a transient sharp or pulling sensation. This discomfort is brief and subsides rapidly once the stent is out.
In the minutes to hours after removal, many report an immediate, strong urge to urinate frequently, even with little urine in the bladder. This often accompanies bladder spasms, involuntary contractions that cause sudden, intense urges to void. A burning or stinging sensation during urination is also common, resulting from urethral irritation during the stent’s passage. A light pink or reddish tinge in the urine (hematuria) is also common immediately after stent removal. This coloration arises from minor irritation or trauma to the urinary tract lining during the procedure. These symptoms are normal responses and generally diminish within a few hours.
Common Symptoms in the Days Following
While immediate discomfort subsides, some symptoms may persist for a few days as the urinary system adjusts. Continued urinary urgency and frequency are common for 24 to 72 hours as the bladder and ureter recover. The urinary tract needs time to return to its normal functional state.
Many may experience a mild, dull ache or discomfort in the lower abdomen, flank, or groin. This stems from the ureter and bladder recovering from irritation and distension caused by the stent. Light blood in the urine can also continue for several days, especially with increased physical activity, as the urinary tract remains sensitive. Bladder spasms may also occur intermittently, contributing to ongoing urges to urinate. Some patients also report tiredness or fatigue as the body recovers and adapts. These symptoms are generally part of the normal recovery process and usually resolve within three to five days.
Managing Discomfort and Aiding Recovery
Several strategies can help manage discomfort and support recovery after ureteral stent removal. Drinking plenty of fluids, especially water, is recommended to flush the urinary system and dilute urine. Adequate hydration can also reduce irritation and promote faster healing.
Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can alleviate mild discomfort. Follow dosage instructions and consult a doctor regarding pain management. Engaging in light activity and avoiding strenuous exercise or heavy lifting for a few days to a week can minimize irritation and support healing. Taking warm baths or showers can help relax muscles and provide relief from bladder spasms and general discomfort. Some find it beneficial to temporarily avoid bladder irritants like caffeine, alcohol, and spicy foods if these worsen urinary symptoms. These measures aid in a smoother recovery.
Signs Requiring Medical Attention
While most symptoms after stent removal are normal and temporary, certain signs indicate a need for medical attention. A fever accompanied by chills could signal a urinary tract infection, requiring immediate evaluation. Severe or worsening pain not alleviated by over-the-counter medication, or pain that significantly increases, warrants medical consultation.
An inability to urinate completely, or passing only very small amounts despite a full bladder, suggests an obstruction. Heavy or persistent bleeding, characterized by large blood clots or urine that remains bright red beyond initial days, should also be reported to a healthcare provider. If symptoms persist beyond three to five days or worsen instead of improving, seek medical advice. Any new or unusual symptoms causing concern should prompt a call to your healthcare provider.