Right Flank Pain After Left Kidney Double J Stent Placement - Urology

More Info

---

After undergoing a percutaneous nephrolithotomy for left kidney stones and having a Double J (DJ) stent placed, experiencing right flank pain can be concerning. While your attending physician suggests that this discomfort may be related to posture, it’s essential to consider several factors that could contribute to this pain.

Firstly, it's important to understand that the placement of a DJ stent is intended to facilitate urine flow from the kidney to the bladder, especially when there is an obstruction, such as a stone. While the stent is in place, it can cause irritation in the urinary tract, leading to symptoms such as flank pain, abdominal discomfort, and changes in urinary habits. However, the pain should primarily be localized to the side where the stent is placed—in this case, the left side.

That said, it is not uncommon for patients to experience referred pain or discomfort in areas away from the site of the procedure. This can occur due to several reasons:
1. Musculoskeletal Factors: After surgery, patients often alter their posture or movement patterns to avoid pain or discomfort. This compensatory behavior can lead to muscle strain or tension in the back or flank area, potentially causing pain on the opposite side. If you have been favoring your left side due to the stent or surgical site, this could lead to discomfort on the right side.

2. Nerve Irritation: The surgical procedure may have caused some irritation to the nerves in the lumbar region, leading to pain that can be perceived on the opposite side. This is known as referred pain and can sometimes occur after surgical interventions.

3. Hydronephrosis: If there is any residual obstruction or if the stent is not functioning optimally, it could lead to hydronephrosis (swelling of the kidney due to urine buildup), which might cause discomfort in both flanks, although typically more pronounced on the affected side.

4. Infection or Inflammation: Post-operative infections can sometimes present with pain that is not localized to the surgical site. If there are signs of infection, such as fever, chills, or changes in urine color or odor, it is crucial to seek medical attention.

5. Stent-related Symptoms: DJ stents can cause irritation to the bladder and urethra, leading to symptoms such as urgency, frequency, and discomfort. Sometimes, this discomfort can be felt in the flank area as well.

Given these possibilities, it is advisable to monitor your symptoms closely. If the right flank pain persists, worsens, or is accompanied by other concerning symptoms (such as fever, chills, or changes in urinary output), it would be prudent to follow up with your healthcare provider. They may consider imaging studies or further evaluation to rule out any complications related to the stent or the surgical procedure.

In summary, while it is possible that your right flank pain is related to posture or compensatory movements following your surgery, it is essential to remain vigilant for any signs of complications. Open communication with your healthcare provider is key to ensuring that any underlying issues are addressed promptly.