Managing Blood in Urine After Double J Stent Placement During Pregnancy

Q: Managing Blood in Urine After Double J Stent Placement During Pregnancy

Hello CHC： Since you have undergone an endoscopic examination and only have small stones, they should be removable! As for the larger stone in your left kidney, since you are six months pregnant, treatment may not be appropriate. <br>If there is no hydronephrosis, there is no nee

Pregnant women with double J stents may experience persistent hematuria?

Hello Dr.
Lin, I have recently discovered that I may have a stone in my left kidney, and through cystoscopy, it was confirmed that there are three small stones in the bladder.
On July 19, a double J stent was placed in my left kidney.
Since I am a "pregnant woman" (currently six months along, with a due date of November 14), the doctor advised us to wait to address the stones until after delivery.
However, it has now been seven days since the stent was placed on July 26, and I am still experiencing hematuria, which is visibly bloody and not light in color.
During my follow-up visit, the doctor did not provide further instructions on how to manage this issue and only prescribed me Transamin (tranexamic acid) for the bleeding.
I would like to ask Dr.
Lin a few questions: 1.
Is it safe for me to keep the stent in place until the end of December? 2.
The issue of hematuria has not yet been resolved; if the bleeding continues, should more aggressive treatment be considered (I can't just wait until the end of the year, right)? What is the appropriate timeframe for reassessment (one week, one month, etc.)? 3.
Could this hematuria pose a danger due to excessive blood loss? Thank you.

CHC, 30~39 year old female. Ask Date: 2014/07/26

Dr. Lin Hexing reply Urology

Hello CHC: Since you have undergone an endoscopic examination and only have small stones, they should be removable! As for the larger stone in your left kidney, since you are six months pregnant, treatment may not be appropriate.
If there is no hydronephrosis, there is no need to place a double-J stent, which can only be in place for two months at a time.
After that period, it either needs to be replaced or removed.
Having a double-J stent may cause some hematuria, but it should not lead to excessive blood loss.
You should discuss your concerns thoroughly with your attending physician.

Reply Date: 2014/07/26

More Info

Managing blood in urine after the placement of a Double J stent during pregnancy is a complex issue that requires careful consideration of both maternal and fetal health. Given your situation, where you are currently six months pregnant and have had a Double J stent placed due to suspected kidney stones, it is important to address your concerns systematically.

1. Safety of Keeping the Stent Until December: The Double J stent is typically used to facilitate urine flow from the kidney to the bladder, especially when there are obstructions such as kidney stones. While it is generally safe to keep the stent in place for an extended period, such as until December in your case, it is crucial to monitor for any complications. The presence of blood in urine (hematuria) is a common side effect of having a stent, but it should be closely monitored. If the bleeding persists or worsens, it may indicate irritation or other complications that need to be addressed. Regular follow-ups with your healthcare provider are essential to ensure that the stent is functioning properly and that there are no signs of infection or other issues.

2. Persistent Hematuria and Need for Further Treatment: If the blood in your urine continues beyond a week or two, it is important to communicate this with your healthcare provider. While some degree of hematuria can be expected after stent placement, persistent or worsening bleeding may necessitate further evaluation. This could include imaging studies or a cystoscopy to assess the stent's position and the condition of the urinary tract. The timeline for reassessment can vary; however, if bleeding continues for more than a week, it would be prudent to seek further evaluation. Your healthcare provider may consider alternative treatments or interventions if the stent is causing significant issues.

3. Risk of Excessive Blood Loss: While some blood in urine is typically not dangerous, excessive bleeding can pose risks, especially during pregnancy. It is important to monitor for signs of significant blood loss, such as dizziness, weakness, or a drop in blood pressure. If you experience any of these symptoms, you should seek immediate medical attention. Generally, the body can tolerate small amounts of blood loss, but if the bleeding is substantial, it could lead to complications for both you and your baby. Your healthcare provider may recommend additional tests, such as a complete blood count (CBC), to assess your hemoglobin levels and ensure that you are not at risk of anemia.

In summary, while the presence of blood in urine after Double J stent placement can be common, it is essential to monitor the situation closely. Regular communication with your healthcare provider is key to managing your condition effectively. They can provide guidance on when to seek further evaluation and what steps to take if your symptoms change. Your health and the health of your baby are paramount, so do not hesitate to reach out to your healthcare team with any concerns.

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