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Ureteral Stent Placement

WHAT YOU NEED TO KNOW:

Ureteral stent placement is a procedure to open a blocked or narrow ureter. The ureter is the tube that carries urine from your kidney into your bladder. A stent is a thin hollow plastic tube used to hold your ureter open and allow urine to flow. The stent may stay in for several weeks.

WHILE YOU ARE HERE:

Before your surgery:

  • 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.
  • Anesthesia is medicine to make you comfortable during the procedure. Healthcare providers will work with you to decide which anesthesia is best for you.
    • General anesthesia is used to keep you asleep and free from pain during the procedure. Healthcare providers may give you anesthesia through your IV. You may 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 is a medicine that your healthcare provider puts into your urethra. It is used to numb the urinary tract and dull the pain. You may still feel pressure or pushing during the procedure.

During your procedure:

A cystoscope (small tube with a light and camera on the end) will be placed into your bladder through your urethra. The urethra is the tube that urine flows through when you urinate. A wire will be put through the scope into your ureter and moved close to your kidney. The stent will be pushed over the wire into your ureter. The wire is used to guide the stent. It will be removed when the stent is in place. An x-ray machine may be used to see if the stent is in the right place. A Foley catheter may be placed in your bladder. The end of the stent may be stitched to the catheter. If a Foley is not used, your healthcare provider may stitch the end of the stent to your thigh or abdomen. This will make it easy to remove when you no longer need it.

After your procedure:

You will be taken to a room to rest until you are fully awake. Healthcare providers will monitor you closely for any problems. Do not get out of bed until your healthcare provider says it is okay. When your healthcare provider sees that you are okay, you will be allowed to go home.

  • Pain medicine is used to take away or decrease your pain. Do not wait until the pain is severe to ask for your medicine.
  • A Foley catheter is a tube healthcare providers put into your bladder to drain your urine into a bag. The end of the stent may be stitched to it. Do not pull on the catheter or the stitches. This may cause pain and bleeding, and the catheter and stent could come out. Keep the bag below your waist. This will help prevent infection and other problems caused by urine flowing back into your bladder. Healthcare providers will remove the catheter as soon as possible, to help prevent infection.
  • Drink liquids as directed to maintain a good flow of urine. This decreases bladder symptoms and keeps the stent open. It also lowers your risk of getting an infection.

RISKS:

  • You may have pain when you urinate. You may have pain around your bladder or kidney. You may see blood in your urine. You may need surgery if the stent cannot be put in safely. The stent may become blocked or move away from where it should be. Your ureter may be damaged during the procedure and you will need surgery to fix it. If the stent remains in a long time, minerals and bacteria may grow over it. This can cause a blockage or an infection.
  • Your urinary tract may become completely blocked if you do not get treatment. This can cause kidney stones or infection. Your kidney may become damaged and stop working. This may be life-threatening.

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.

© 2016 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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