Ureteric Stent

The ureteric stent is inserted under general anaesthetic, often at the same time as another procedure (such as a ureteroscopy). A special telescope (cystoscope) is passed through the urethra, into the bladder, and then the stent is placed into the ureter and kidney via the opening of the ureter at the bladder. The position of the stent is then checked using an x-ray.

Most patients will be aware of their stent, but generally will not experience any major problems.

Some patients will experience moderate side effects, and some may experience more severe side effects. In most cases, these side effects decrease over time.

It is important to remember that each person has a different tolerance level of discomfort, so please speak with your doctor if you feel that you are not coping well.

• Discomfort, irritation, pain or burning sensations when passing urine.
• The ureteric stent can irritate the bladder, causing you to feel the need to urinate more frequently or more urgently.
• Blood may be present in the urine. This may be worse following strenuous activity such as going to the gym, or lifting heavy bags, but usually can be cleared by drinking lots of fluids.
• Pain in the flank (side, kidney pain) on the side where the stent is, when passing urine. This is common and tolerable for most people.
• Very occasionally, women may experience episodes of incontinence. This is thought to be due to the presence of the stent causing mechanical irritation inside the bladder; this usually resolves once the stent is removed.

For most patients, the stent will need to remain in place until the obstruction is relieved, which depends on the nature of the obstruction. Usually this is for between 2-6 weeks, and sometimes longer, though your urologist will discuss your individual circumstances with you.

Stents are designed to be held in place by small coils, and they are flexible enough to withstand daily activities.

Removal of the stent is usually a quick procedure and it is performed under light sedation or local anaesthetic.

Sports and physical activity

• You may continue your normal physical activities with your stent in place, so long as your underlying kidney condition allows you to
• You may experience some discomfort in the kidney area or blood in your urine, especially if the exercise is strenuous

Work

• You may continue to work normally with your stent in place
• If your work involves physical activity, you may experience more discomfort
• If your work involves digging, heavy lifting, carrying or climbing, you may need to avoid working until you receive clearance from your urologist. If you require a medical certificate for work, please let your doctor know.

Sex

• There are no restrictions on sexual intercourse due to the presence of the stent
• Few patients experience discomfort during sexual activities.

• Drink plenty of fluids – at least 2L per day; this can help to ease the discomfort caused by the stent
• You may take paracetamol for pain relief if required.

• If you have a fever, chills or severe pain around the kidney or bladder area
• If you have constant, unbearable pain
• If you are passing blood clots
• If you are unable to pass urine