How Long Does Pain Last After Ureteroscopy for Kidney Stones? - Urology

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After undergoing ureteroscopy for kidney stones, it is common to experience some discomfort and pain during urination. The symptoms you are describing, such as pain near the glans (tip of the penis) and the presence of blood in the urine, are not unusual following this type of procedure. Typically, patients may experience pain for several days to a week after surgery, as the urinary tract can be irritated from the procedure itself, which involves the insertion of instruments into the urethra and bladder.

The pain you are experiencing, particularly the sharp pain at the beginning of urination, could be attributed to a few factors:
1. Irritation from the Procedure: The ureteroscopy can cause temporary inflammation and irritation of the urethra and bladder. This irritation can lead to discomfort during urination, especially when the urine first flows through the urethra.

2. Residual Stones or Fragments: While it is less likely, there is a possibility that small fragments of stone could be left behind after the procedure. These fragments can cause irritation as they pass through the urinary tract. However, if you had a thorough ureteroscopy, the likelihood of significant stone fragments remaining is low.

3. Healing Process: The urinary tract may take some time to heal after the procedure. The presence of pain, especially if it is gradually decreasing, suggests that your body is healing. The initial sharp pain may lessen over time as the tissues recover.

4. Urinary Tract Infection (UTI): Although you mentioned that blood in the urine has improved, it is still important to monitor for signs of a UTI, which can include persistent pain, burning during urination, and increased urgency or frequency of urination. If you develop a fever or notice an increase in pain, it would be wise to consult your healthcare provider.

In terms of how long the pain may last, it can vary from person to person. Generally, mild to moderate discomfort can persist for a few days to a week post-surgery. If the pain continues beyond this period or worsens, it is advisable to follow up with your urologist. They may want to perform an ultrasound or other imaging studies to ensure that there are no remaining stones or complications.

To manage your symptoms in the meantime, consider the following:
- Hydration: Drink plenty of fluids to help flush out any remaining stone fragments and to dilute your urine, which can reduce irritation.

- Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help alleviate discomfort. However, consult your doctor before taking any medication.

- Avoid Straining: As you mentioned, try to urinate without straining, as this can exacerbate pain.

In conclusion, while some pain and discomfort after ureteroscopy is normal, it is essential to monitor your symptoms closely. If you have concerns about the pain or if it persists beyond a week, do not hesitate to reach out to your healthcare provider for further evaluation and management. They can provide reassurance and determine if any additional treatment is necessary.