Urethral Stent Placement

WHAT YOU SHOULD KNOW:

Urethral stent placement is a procedure to open a blockage or stricture (narrowing) of your urethra. The urethra is the tube that carries urine from your bladder out of your body. A stent is a small plastic or metal tube used to open your narrowed urethra. A urethral stent may stay in for a short or long period of time.


CARE AGREEMENT:

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

RISKS:

  • You may have an allergic response to the medicines used during your procedure. The wire used during the procedure may tear your urethra and cause pain, bleeding, or blood clots in your urine. The stent may loosen, move out of place, or become blocked over time. The stent may cause an infection, pain when you urinate, or an increased feeling that you need to urinate. If the stent becomes blocked, you may have trouble urinating. This may lead to abdominal pain or an infection. Stones may form in your kidneys, cause decreased kidney function or failure, and become life-threatening. Even with a stent placement, you may get new strictures or blockages in your urethra.

  • If you do not have a urethral stent placed, your condition may become worse. Your urine flow may become blocked and cause stones to form in your bladder and kidneys. This may lead to pain, or a urinary tract or kidney infection. Your kidneys may not be able to function properly. This may become life-threatening.

WHILE YOU ARE HERE:

Before your procedure:

  • Informed consent is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.

  • An IV is a small tube placed in your vein that is used to give you medicine or liquids.

  • Pre-op care: You may be given medicine in your IV before your procedure. This medicine may help you relax or make you sleepy. Antibiotic medicine may also be given to prevent an infection.

  • Anesthesia:

    • General anesthesia will keep you asleep and free from pain during surgery. Anesthesia may be given through your IV. You may instead breathe it in through a mask or a tube placed down your throat. The tube may cause you to have a sore throat when you wake up.

    • Local anesthesia: This is used to numb your urethra and dull your pain. You may still feel pressure or pushing during the procedure after you get this medicine.

During your procedure:

  • Your caregiver may use an endoscope to help place your stent. An endoscope is a long bendable tube with a light and camera at the end. Your caregiver may use fluoroscopy (a type of x-ray) to check the location of the catheter. He may put a dye into your urethra and your bladder to help the stricture show up better on x-ray.

  • A thin wire will be inserted past the blocked or narrowed area of your urethra. A catheter (thin tube) with a balloon attached may be placed over the wire. The balloon on the catheter will be inflated to widen your narrowed urethra. The stent will be put into your urethra, over the wire, to the area of the blockage. Once the stent is in place, the wire and catheter will be removed. An x-ray may be done to check if the stent is in the proper place inside your urethra.

After your procedure:

You will be taken to a room where you will rest until you are fully awake. Do not get out of bed until your caregiver says it is okay. When your caregiver sees that you are okay, you may be able to go home. If you are staying in the hospital, you will be taken back to your hospital room.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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