Instructions after All Ureteroscopic Procedures Including any Stone Therapy, Stent Placement or Diagnostic Studies
- Drink at least 2 liters of clear, decaffeinated beverages daily to help protect the remaining kidney from harm. The patient may return to their normal diet after passing gas from below or having bowel movements.
- The patient may drive on the day after the procedure unless they are using oral narcotic medications. The patient may shower or bathe immediately following the surgery. From a medical perspective, the patient is safe to resume all activities after discharge. We do not recommend any heavy lifting more than 10 pounds if possible while the stent is in place as it could possibly add to your discomfort and pressure in the kidney.
- The patient may expect intermittent blood tinged urine caused by the stent. We recommend appropriate hydration to flush out any blood, protect the kidney and prevent clots from forming in the bladder. Other stent related symptoms include increased urinary frequency and urgency, along with temporary kidney pressure with voiding. The stent is necessary to prevent closure of the ureter (the tube that drains the kidney to the bladder) as well as to help evacuate any stone debris that remains. We schedule the stent removal to occur as soon as is possibly safe in order to prevent emergent surgery for a blocked kidney. While we recognize the potential discomfort affects all patients differently, it is a necessary preventive measure and not typically removed before the scheduled time. On rare occasion, if the discomfort is uncontrolled with pain medications, please go to Allenmore Emergency Room as an imaging study may be necessary to evaluate stent position.
- Discharge medications typically include pain medication (Vicodin 1-2 tablets every 4-6 hours as needed for pain), an antibiotic, medication for burning with urination (Pyridium 100 mg twice a day as needed for burning urination) and Flomax 0.4 mg once a day (to help relax the ureter from stent discomfort). Of note, the Pyridium will turn the urine and contact lenses orange in color. These medications may be changed appropriately based on patient allergies and effectiveness.
- We strongly recommend inversion therapy with flank percussion twice a day for 10 minutes to help evacuate any and all stone debris. This can be performed by lying on a couch on your stomach, leaning over and placing your forehead on the ground and have someone moderately tap your back the area over your affected kidney.
If you experience fever more than 101 F, have nausea and vomiting, have uncontrolled pain, or are unable to void, please call the office for help immediately 228-757-1600.