Managing Post-Surgery Urinary Pain and Discomfort: What to Know

Q: Managing Post-Surgery Urinary Pain and Discomfort: What to Know

Hello： After ureteral stone surgery, there is usually a short period of urinary symptoms, but if it has been since July 19, that would be unreasonable. <br>Additionally, if you experience dysuria, fever, or severe flank pain, you should inform your physician. <br>It is also impor

Urinary problems

Hello, I underwent ureteral stone surgery on July 19 and had my ureteral stent removed two days later upon discharge.
Since returning home, I have experienced burning pain towards the end of urination, and nearly ten days later, the pain persists, accompanied by blood in my urine.
I also have frequent urination.
During my follow-up appointment on the 25th, the doctor said this is normal, but the pain is really unbearable.
Should I see the doctor again, or are there any methods to alleviate the discomfort?

Lai, 20~29 year old female. Ask Date: 2017/10/27

Dr. Du Shixi reply Urology

Hello: After ureteral stone surgery, there is usually a short period of urinary symptoms, but if it has been since July 19, that would be unreasonable.
Additionally, if you experience dysuria, fever, or severe flank pain, you should inform your physician.
It is also important to maintain adequate hydration and monitor your urine color; if it is very cloudy, it may indicate inflammation.
Please return for a follow-up appointment.
Wishing you good health.

Reply Date: 2017/10/27

More Info

After undergoing ureteral stone surgery, it is not uncommon to experience urinary discomfort, including pain and a burning sensation, especially as you approach the end of urination. This discomfort can be attributed to several factors related to the surgery and the presence of a ureteral stent, which is often placed to help ensure proper urine flow while the ureter heals.

Understanding Post-Surgery Urinary Pain
1. Ureteral Stent: If a stent was placed during your surgery, it can cause irritation in the bladder and urethra. This irritation often leads to symptoms such as urgency, frequency, and pain during urination. The stent can also cause minor bleeding, which might explain the blood you are noticing in your urine.

2. Inflammation: The surgical procedure itself can lead to inflammation of the urinary tract. This inflammation can cause discomfort and pain as the tissues heal.

3. Healing Process: Post-operative healing can vary significantly from person to person. While some may recover quickly, others may experience prolonged symptoms as their body heals.

When to Seek Medical Attention
While some discomfort is expected after such a procedure, there are specific signs that warrant a follow-up with your healthcare provider:
- Severe Pain: If the pain becomes unbearable or significantly worsens, it is essential to consult your doctor.

- Persistent Blood in Urine: While minor bleeding can be normal, significant or persistent blood in the urine should be evaluated.

- Fever or Chills: These could indicate an infection, which requires immediate medical attention.

- Increased Urgency or Frequency: If you find that your urinary symptoms are worsening rather than improving, it is advisable to seek further evaluation.

Management Strategies
In the meantime, there are several strategies you can employ to help manage your symptoms:
1. Hydration: Drink plenty of fluids to help flush out your urinary system. This can dilute the urine and may help reduce irritation.

2. Warm Compress: Applying a warm compress to your lower abdomen may help alleviate some of the discomfort associated with bladder irritation.

3. Pain Relief: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help manage pain and discomfort. However, consult your doctor before taking any medication, especially if you have any underlying health conditions or are taking other medications.

4. Avoid Irritants: Try to avoid caffeine, alcohol, and spicy foods, as these can irritate the bladder and worsen symptoms.

5. Scheduled Voiding: Instead of waiting until you feel the urge to urinate, try to urinate at regular intervals. This can help reduce the feeling of urgency and may decrease discomfort.

Follow-Up Care
Since you have a follow-up appointment scheduled, it is crucial to communicate all your symptoms to your doctor. They may want to perform a urinalysis or imaging studies to ensure that there are no complications, such as an infection or obstruction. If your symptoms persist beyond the expected recovery period, your doctor may consider adjusting your treatment plan or exploring further diagnostic options.

In conclusion, while some discomfort after ureteral stone surgery is normal, it is essential to monitor your symptoms closely. If you experience any concerning signs or if your pain becomes unmanageable, do not hesitate to reach out to your healthcare provider for further evaluation and management. Your health and comfort are paramount, and timely intervention can help ensure a smoother recovery.

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