Post-Ureteroscopy Stone Removal: Managing Bleeding and Recovery Tips - Urology

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After undergoing ureteroscopy and stone removal, it is common for patients to experience some bleeding, especially if a double-J stent has been placed. The presence of a stent can cause irritation in the urinary tract, leading to symptoms such as hematuria (blood in urine), discomfort, and a frequent urge to urinate. Here are some insights regarding your situation and recommendations for managing your recovery.


Understanding Post-Operative Symptoms
1. Bleeding: Light bleeding or spotting can be expected in the days following the procedure, especially when urinating. However, if you notice significant bleeding (more than just light spotting), or if the bleeding persists or worsens, it is crucial to contact your healthcare provider. This could indicate complications such as stent displacement or irritation of the urinary tract.

2. Pain and Discomfort: It is also common to experience some degree of pain or discomfort in the lower abdomen or flank area. This can be due to the stent itself or residual irritation from the procedure. Over-the-counter pain relievers may help, but consult your doctor before taking any medication.

3. Urinary Symptoms: Increased frequency of urination, urgency, and mild burning sensations are typical after stent placement. These symptoms should gradually improve as you heal.


When to Seek Medical Attention
- Severe Bleeding: If you experience heavy bleeding, clots, or if your urine is consistently bright red, you should seek medical attention immediately.

- Signs of Infection: Symptoms such as fever, chills, or foul-smelling urine may indicate a urinary tract infection (UTI), which requires prompt treatment.

- Persistent Pain: If pain becomes severe and unmanageable, or if it does not improve with medication, you should consult your physician.


Recovery Tips
1. Hydration: Drink plenty of fluids to help flush out your urinary system and reduce the risk of infection. Aim for at least 2-3 liters of water daily, unless otherwise directed by your doctor.

2. Activity Level: Rest is essential in the initial days following the procedure. Gradually increase your activity level as tolerated, but avoid heavy lifting or strenuous exercise until cleared by your doctor.

3. Follow-Up Appointments: Keep all scheduled follow-up appointments to monitor your recovery and the status of the stent. Your doctor will likely want to remove the stent within a few weeks, depending on your healing progress.


Resuming Sexual Activity and DIY
Regarding when you can resume sexual activity and DIY (do-it-yourself) activities, it is generally advisable to wait until you have been cleared by your healthcare provider. This is typically around 1-2 weeks post-procedure, but it can vary based on individual recovery. Engaging in sexual activity too soon may increase the risk of complications or discomfort.


Conclusion
In summary, while some bleeding and discomfort are expected after ureteroscopy and stent placement, it is crucial to monitor your symptoms closely. If you experience significant bleeding or other concerning symptoms, do not hesitate to reach out to your healthcare provider. Follow their recommendations regarding hydration, activity levels, and follow-up appointments to ensure a smooth recovery. Always prioritize your health and communicate openly with your medical team about any concerns you may have.