Post-DJ Stent Removal: Pain and Discomfort in Urology

Q: Post-DJ Stent Removal: Pain and Discomfort in Urology

Xiao Chen： Hello. 1. It is recommended to follow up with an ultrasound to check for any fluid accumulation. 2. As for whether it is a gastrointestinal issue, further examination may be necessary, such as an upper gastrointestinal endoscopy. 3. Regarding th

After the removal of the DJ stent?

After undergoing a left ureteroscopy, I experienced frequent urination, lower back pain, and gastrointestinal discomfort.
Even after the DJ stent was removed, I still felt pain in both sides of my lower back.
When I asked my attending physician, I did not receive a clear answer.
Could this be caused by the lower body anesthesia? Later, I began to feel discomfort in my right lower and upper abdomen.
The doctor only performed an ultrasound and said there was no edema, and that my upper abdomen issues were related to my stomach and not connected to him.
Today, I noticed that pressing on the middle of my chest near the ribs causes pain.
Should I see a gastroenterologist for this, or what should I do? Also, I experience pain in the urethra near the base of the penis close to the scrotum when I am not fully erect, but the pain disappears when I am fully erect.
What could be the reason for this? Thank you for your help.

Xiao Chen, 20~29 year old female. Ask Date: 2014/03/24

Dr. Xu Weikai reply Urology

Xiao Chen: Hello.
1.
It is recommended to follow up with an ultrasound to check for any fluid accumulation.
2.
As for whether it is a gastrointestinal issue, further examination may be necessary, such as an upper gastrointestinal endoscopy.
3.
Regarding the pain during erection, I cannot determine the cause without further information.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Responses on the internet should only be used as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Chief of Urology, Taitung Hospital, Ministry of Health and Welfare, who cares about your well-being.

Reply Date: 2014/03/24

More Info

Post-DJ Stent removal discomfort can be quite complex and multifaceted. After the removal of a DJ (double-J) stent, patients may experience a range of symptoms, including persistent pain in the lower back, abdominal discomfort, urinary frequency, and even gastrointestinal issues. These symptoms can be attributed to several factors, including the surgical procedure itself, the effects of anesthesia, and the body's healing process.

Firstly, it is essential to understand that the DJ stent is placed to ensure urine flow from the kidney to the bladder, especially after procedures like ureteroscopy. The removal of the stent can sometimes lead to irritation of the urinary tract, which may manifest as pain or discomfort in the lower back and abdomen. The fact that you are experiencing bilateral lower back pain could be related to the irritation of the ureters or kidneys, or it could be a result of muscle strain from altered posture during recovery.

Regarding your question about whether the lower body anesthesia could be causing these symptoms, it is unlikely that the anesthesia itself is the direct cause of ongoing pain. However, anesthesia can sometimes lead to temporary nerve irritation or muscle soreness, which may contribute to discomfort during the recovery phase. If the pain persists or worsens, it would be prudent to follow up with your urologist for further evaluation.

The abdominal discomfort you are experiencing, particularly on the right side, could be due to several reasons. Since your ultrasound did not show any hydronephrosis (swelling of the kidney due to urine buildup), it may be worth considering other causes such as gastrointestinal issues or referred pain from the urinary tract. If the discomfort continues, consulting a gastroenterologist could be beneficial to rule out any underlying gastrointestinal problems.

As for the pain near the urethra when not fully erect, this could be due to several factors. It is not uncommon for individuals to experience discomfort in the urethra or surrounding areas after procedures involving the urinary tract. This discomfort may be due to inflammation or irritation of the urethra, which can occur after stent placement and removal. When the penis is fully erect, the tension and pressure may relieve the discomfort, but when it is not fully erect, the sensitivity may be heightened, leading to pain. If this pain persists or is severe, it is advisable to consult a urologist for a thorough examination.

In summary, your symptoms following DJ stent removal are not uncommon and can be attributed to various factors related to the surgical procedure and the body's healing process. It is essential to maintain open communication with your healthcare providers and seek further evaluation if your symptoms do not improve or if new symptoms arise. A multidisciplinary approach, involving both urology and gastroenterology, may be beneficial in addressing your concerns comprehensively. Always prioritize your health and do not hesitate to seek medical attention when needed.

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