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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.

HOW TO PREPARE:

The week before your procedure:

  • Write down the correct date, time, and location of your procedure.
  • Arrange a ride home. Ask a family member or friend to drive you home after your surgery or procedure. Do not drive yourself home.
  • Ask your caregiver if you need to stop using aspirin or any other prescribed or over-the-counter medicine before your procedure or surgery.
  • Bring your medicine bottles or a list of your medicines when you see your caregiver. Tell your caregiver if you are allergic to any medicine. Tell your caregiver if you use any herbs, food supplements, or over-the-counter medicine.
  • You may need blood or urine tests before your procedure. You may also need x-rays, a CT scan, an ultrasound, or an MRI. Talk to your healthcare provider about these or other tests you may need. Write down the date, time, and location for each test.

The night before your procedure:

Ask caregivers about directions for eating and drinking.

The day of your procedure:

  • Ask your caregiver before taking any medicine on the day of your procedure. These medicines include insulin, diabetic pills, high blood pressure pills, or heart pills. Bring a list of all the medicines you take, or your pill bottles, with you to the hospital.
  • You or a close family member will be asked to sign a legal document called a consent form. It gives caregivers permission to do the procedure or surgery. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.
  • Caregivers may insert an intravenous tube (IV) into your vein. A vein in the arm is usually chosen. Through the IV tube, you may be given liquids and medicine.
  • An anesthesiologist will talk to you before your surgery. You may need medicine to keep you asleep or numb an area of your body during surgery. Tell caregivers if you or anyone in your family has had a problem with anesthesia in the past.

WHAT WILL HAPPEN:

What will happen:

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.

CONTACT YOUR HEALTHCARE PROVIDER IF:

  • You cannot make it to your procedure.
  • You have a fever.
  • You get a cold or the flu.
  • You have questions or concerns about your procedure.

Seek Care Immediately if

  • You have severe pain in your abdomen.
  • You have trouble urinating or your urine is bloody or cloudy.

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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