Post-Surgery Back Pain After Ureteral Stone Removal: What to Expect - Urology

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Post-surgery back pain after ureteral stone removal, especially following the placement and subsequent removal of a double-J stent, is a common concern among patients. Your mother's experience of persistent back pain three days after the removal of the stent is not unusual, particularly given the circumstances surrounding her procedure.
The double-J stent is designed to facilitate urine flow from the kidney to the bladder, especially when there is a risk of obstruction due to stones or swelling. The process of inserting and removing this stent can sometimes lead to irritation or trauma to the ureter or kidney, which may manifest as pain in the lower back or flank area. This discomfort can be exacerbated if the stent was difficult to remove, as you mentioned it was "stuck," which may have caused additional strain or injury to the surrounding tissues.

In terms of what to expect post-surgery, it is important to recognize that some level of discomfort or pain can be normal as the body heals. The kidneys and ureters are sensitive structures, and any manipulation can lead to inflammation or irritation. The fact that your mother is not experiencing fever and that her hematuria (blood in urine) has decreased is a positive sign, suggesting that there is likely no significant infection or acute complication at this time.

However, it is crucial to monitor her symptoms closely. If the pain worsens, or if she develops new symptoms such as fever, chills, or increased blood in the urine, it would be advisable to seek medical attention promptly. These could be signs of a possible infection or other complications that may require further evaluation.

Regarding the potential for kidney injury during the stent removal, while it is a possibility, it is generally low if the procedure is performed by an experienced urologist. The use of anesthesia during the removal indicates that the medical team was attentive to her comfort and the complexity of the situation. Nonetheless, if there are concerns about kidney damage or infection, imaging studies such as an ultrasound or CT scan may be warranted to assess the kidney's condition.

In the meantime, managing her pain with the prescribed analgesics and ensuring she stays well-hydrated can help facilitate recovery. Drinking plenty of fluids can also aid in flushing out any remaining debris or small stones that may have been left behind after the procedure.

In summary, while persistent back pain after ureteral stone surgery can be expected, it is essential to remain vigilant for any signs of complications. Regular follow-up with her healthcare provider is crucial to ensure a smooth recovery and to address any concerns that may arise during her healing process. If the pain continues beyond a reasonable timeframe or if new symptoms develop, further evaluation will be necessary to rule out any underlying issues.