Ureteric Stents
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Ureteric stents are quite commonly used in urology.1
They’re thin plastic tubes, they have a curl at the top and a curl down the bottom and basically they’re placed between the kidney and the bladder and they allow urine to come through from the kidney to the bladder.
Usually we place them if there’s any obstruction or blockage to the urinary system, that might be from the structure or the scarring or some other pathology outside causing a blockage and most commonly they’re used when people have kidney stones and we put a little plastic tube in, bypass the stone, it allows urine to come through, the patient’s pain settles down and particularly if they’ve got an infection it allows the infection to drain.
Now sometimes after we do ureteroscopy where we go up with a telescope and break the stone and treat the stone we put a stent in.
The reason we do that is when we do a ureteroscopy the tube goes into spasm and it closes off and patients can get quite severe pain or there might be some stone fragments causing a blockage, so we leave this stent in.
Sometimes patients have them in there and they cause no pain at all.
Other times they can cause quite a lot of irritation in the bladder area with patients having urgency, frequency, going very often.
Other times when people pass urine they can get pain up in their kidneys and the urine going back up the stent.
Sometimes patients might find arching backwards or bending forward and closing their fist deep down the pelvis trying to kick the stent when they pass urine they might find those manoeuvres of some benefit.
So usually it’s normal to have some pain and discomfort after the stent.
It’s usually normal to have some blood from irritation but it usually settles down.
The stent can be taken out either under local anaesthetic gel with a flexible telescope or sometimes under a light anaesthetic we might go back in and check that there’s no stones present.
So ureteric stents are very, very useful, they’re used very often for patients, the really important thing to remember for patients is that once you have a stent you must ensure that it comes out2.
If it’s left for too long you can form stones over it, it can form a major problem.
Ureteric Stents
What a ureteric stent is
Ureteric stents are thin plastic tubes used very commonly in urology.1 They have a curl at the top and a curl at the bottom, and sit between the kidney and the bladder so that urine can drain down even when the natural channel (the ureter) isn’t working properly.
When and why stents are used
A stent is most often placed when there is an obstruction or blockage in the urinary system - for example from a kidney stone, scarring, or something outside the ureter pressing on it. The stent bypasses the blockage, so urine can still drain from the kidney, the pain settles down, and any infection has somewhere to go.
A stent is also commonly left in after ureteroscopy (where a small telescope is passed up to break or remove a stone). After ureteroscopy the ureter can go into spasm and close off, or small stone fragments can cause a blockage; the stent keeps the drainage channel open while things settle.
What to expect while the stent is in
Some patients feel nothing at all from the stent. Others notice:
- Irritation in the bladder - urgency and going more often.
- Pain in the kidney when passing urine, as some urine can travel back up the stent.
- A small amount of blood in the urine from irritation, which usually settles.
Some men find that arching backwards, bending forward, or pressing a closed fist low in the pelvis while passing urine can ease the discomfort.
Removing the stent
A stent is removed either in the rooms using local anaesthetic gel and a flexible telescope, or under a light anaesthetic if a further look inside is needed to confirm there are no remaining stones.
Important: stents must not be forgotten
The single most important thing for any patient with a ureteric stent is to make sure it comes out when planned.2 If a stent is left in place too long, stones can form on it and cause a major problem.
Ureteric Stent Patient Information Brochures
References
- Valentina Bernasconi, Marco Tozzi, Amelia Pietropaolo - Comprehensive overview of ureteral stents based on clinical aspects, material and design - Cent European J Urol. 2023; 76(1): 49–56. Published online 2023 Jan 12. doi: 10.5173/ceju.2023.218
- Xiaochuan Wang, Zhengguo Ji, Peiqian Yang - Forgotten ureteral stents: a systematic review of literature - BMC Urology volume 24, Article number: 52 (2024)