Double Catheter Issues After Ureteral Stone Surgery

Q: Double Catheter Issues After Ureteral Stone Surgery

Hello： 1) A double J stent may sometimes dislodge because the fixed end can slip during movement; this typically does not cause harm, but there is a concern for infection. <br>2) Females should not experience pain; the exposed end can be grasped and pulled out, but the patient sh

Double-lumen catheter issues

In April, I was diagnosed with urinary tract stones after experiencing severe abdominal pain.
I underwent endoscopic surgery to remove the stones.
Until a week ago, my attending physician was supposed to remove the catheter, but due to COVID-19, the operating room was only open for emergency cases, so the procedure was postponed to June 10.
However, after using the restroom today, I noticed that a small section of the catheter had fallen out from the urethra.
I called the hospital for advice, but since it was a holiday, the staff informed me that they were closed.
They transferred me to the emergency room, but the emergency staff said they could only refer me back because it wasn't my attending physician.
I would like to know how it could have fallen out, and since a small section has already come out, will it still be painful to remove the rest? What does the process entail?

A Hui, 20~29 year old female. Ask Date: 2021/05/31

Dr. Du Shixi reply Urology

Hello: 1) A double J stent may sometimes dislodge because the fixed end can slip during movement; this typically does not cause harm, but there is a concern for infection.
2) Females should not experience pain; the exposed end can be grasped and pulled out, but the patient should lie flat.
Wishing you good health.

Reply Date: 2021/05/31

More Info

After undergoing ureteral stone surgery, it is not uncommon for patients to have concerns regarding the double J (DJ) catheter that is placed to facilitate urine drainage and prevent complications such as obstruction or infection. In your case, the DJ catheter has partially fallen out, which understandably raises questions about the implications and the next steps.

Firstly, it is important to understand that a DJ catheter is designed to remain in place for a specific duration, typically until the ureter has healed sufficiently or until the stones have been adequately managed. The catheter can sometimes become dislodged due to movement or changes in the position of the body, especially if the catheter was not secured properly. This can happen in some cases, and while it may be concerning, it does not always indicate a serious problem.
When a segment of the DJ catheter falls out, it is crucial to monitor for any signs of complications. These may include increased pain, fever, or changes in urination patterns, which could indicate an infection or obstruction. If you experience any of these symptoms, it is essential to seek medical attention promptly.

Regarding the removal of the remaining catheter segment, the procedure is generally straightforward. For most patients, especially females, the process of removing a DJ catheter is not painful. The healthcare provider will typically instruct you to lie down comfortably, and they will gently grasp the exposed portion of the catheter to pull it out. The procedure is usually quick, and while you may feel some mild discomfort, it should not be excessively painful.

If you have concerns about the procedure or if you are feeling anxious, it is advisable to communicate this with your healthcare provider. They can provide reassurance and explain the steps involved in the removal process. Additionally, if you have any underlying conditions or if you are particularly sensitive, your doctor may consider using local anesthesia to ensure your comfort during the removal.

In your situation, since the catheter was scheduled to be removed soon, it is likely that the remaining segment can be taken out without any complications. However, it is essential to follow up with your healthcare provider as soon as possible to ensure that the catheter is removed appropriately and to assess the condition of your urinary tract post-surgery.

In summary, while the partial dislodgement of the DJ catheter can be concerning, it is often manageable. The removal process is typically not painful, and it is crucial to stay in touch with your healthcare provider to ensure proper care and monitoring of your recovery. If you have any further questions or concerns, do not hesitate to reach out to your medical team for guidance. Your health and comfort are paramount, and they are there to support you through your recovery journey.

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