Urine Color Changes After Double J Catheter Placement - Urology

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Post-catheterization urine color?


Hello, doctor! My family member underwent a double J stent placement procedure one month ago.
Recently, the urine color has sometimes been light with a slight pink tint, while most of the time it is an uneven dark brown with some blood color.
Is this normal? There are no other discomforting symptoms.

Joyce, 40~49 year old female. Ask Date: 2019/03/01

Dr. Du Shixi reply Urology


Hello: It is normal and difficult to avoid, so drink plenty of fluids.
If you notice pink discoloration throughout the day, it may be necessary to follow up with your doctor for further explanation.
Wishing you good health.

Reply Date: 2019/03/01

More Info


After the placement of a double J catheter, it is not uncommon for patients to experience changes in urine color. The presence of a double J catheter, which is used to facilitate urine flow from the kidneys to the bladder, can lead to various urinary symptoms and changes in urine characteristics.
In your case, the observation of urine that is sometimes light with a slight pink hue and other times dark brown with some blood color can be attributed to several factors. Firstly, it is important to note that the presence of blood in the urine, known as hematuria, can occur after the placement of a double J catheter. This can be due to irritation of the urinary tract, especially if there was any trauma during the procedure or if the catheter is causing irritation to the bladder or ureters.
The light pink color you are observing may indicate a small amount of blood mixed with urine, which is often not a cause for immediate concern, especially if it is not accompanied by pain, fever, or other symptoms. However, the dark brown urine could suggest a higher concentration of blood or the presence of other substances, such as concentrated urine or breakdown products of blood, which can occur if there is any bleeding.

It is also worth considering that urine color can be influenced by hydration levels. If your family member is not drinking enough fluids, the urine may become more concentrated and darker in color. Additionally, certain foods, medications, or supplements can also affect urine color. For example, beets, berries, and certain medications can lead to reddish or brownish urine.

While some degree of discoloration can be normal after the placement of a double J catheter, it is essential to monitor the situation closely. If the urine continues to appear discolored, especially if it becomes more consistently red or brown, or if any other symptoms develop—such as pain, fever, or changes in urinary habits—then it is crucial to seek medical attention. A healthcare provider may want to perform a urinalysis or imaging studies to rule out any complications, such as infection, obstruction, or significant bleeding.

In summary, while some changes in urine color can be expected after the placement of a double J catheter, it is important to remain vigilant. If there are any concerns or if the discoloration persists, it is advisable to consult with a healthcare professional for further evaluation and management. Regular follow-ups and communication with the healthcare team are key to ensuring a smooth recovery and addressing any potential complications promptly.

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