ureteroscopy and stents

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kstone-man
New Member


Date Joined Aug 2015
Total Posts : 4
   Posted 8/18/2015 7:51 AM (GMT -7)   
I am posting my recent experience of having a ureteroscopy in both ureters and the subsequent stents. I hope this will help someone in just knowing what you could expect. I don't write this to scare anyone but I think it is helpful to have an account of actual experience to help make an informed decision.

I am a 54 year old male with a history of kidney stones (over 20). In my past, I've been hospitalized three times, had 6 lithotripsies ( 4 of which were successful), and 2 ureteroscopies. Some of my stones have caused horrific experiences and others have been passed without much discomfort at all. Through the years, I have focused on diet, drinking lots of distilled water, various prescriptions, and the various recommendations from urologists...but I still generate calcium oxalate stones every 2-4 years.

6 weeks ago, I felt the familiar aching beginning in my lower left back area. Knowing that it felt like a stone, I waited a couple of days to see if it would pass but it did not. Scheduled appointment with my urologist, had the x-rays and sonogram and learned that I had four stones. Since I am planning to be out of the country for a few weeks in September, I wanted to go ahead and get rid of the stones. Scheduled and had a lithotripsy but it was not successful...very frustrating. My urologist strongly recommended a ureterscopy to get the stones out. I did not have a good experience with the previous ureteroscopy but given my pending travel, this seemed the only option. So, I agreed.

The good news, they did get all the stones...and the actual procedure is under general anesthesia so there's no problem there...I keep trying to remember that. The recovery has been challenging. They put stents in both ureters and I had to have them for a week (the urologist wanted 2 weeks but I pushed for getting them out as soon as reasonably possible). Following the procedure and for three days, urinating was painful. The procedure evidently scratched the inside tissue of my urethra. To be clear, it felt like I was peeing out hot acid with ground up shards of glass in it. I found that if I sat down to pee, and pushed my fingernails in both my neck and lower calf, it helped to distract from the pain. Since you have to drink a lot, you have to pee a lot during the recovery...so you have to come up with some strategy to deal with the urination pain. The urine looked like dark cranberry juice due to the continued bleeding.

After three days, the pain lessened but it was still quite uncomfortable. The pain medications help but they don't want you to take any INSAIDS due to blood thinning so you can't take ibuprofen...which would help with the tissue relaxation. While the stents were in, I generally felt "bad". I had no energy. And the pain was similar to moderate kidney colic. Anyway...after a week, I had the stents removed.

The stent removal process is not all that bad but it's uncomfortable. I took a pain pill a couple of hours before to be prepared. They use a local anesthetic on the tip of and just inside the penis. (The last stent I had had still had the string hanging out but this time, they snipped the strings further up in my penis.) You lay down, and the urologist inserts a scope inside the penis, clamps on the end of the stent, and pulls it out. It feels odd but not overly painful. If I had to do it over again, I would recommend getting some sort of muscle relaxer or valium to relax more. The whole process of having someone stick something up your penis and deep inside your body while you're awake it just not pleasant for me. I think they should use something like nitrous oxide like the dentists use for certain procedures. In terms of blood in the urine, it cleared up within a matter of hours afterwards.

For a week after the stent removal, I still had some left kidney pain (there were three stones in the left kidney). I passed blood clots from time to time and came to learn of "clot colic". In essence, the clots can block the ureter and you experience similar pain as mild to moderate kidney colic. I managed through this with INSAIDs, heating pad, hot tub, and drinking lots of water. The previous ureteroscopy I had had was not this difficult...once the stent was removed, I had no further pain. This time, it was significantly more difficult.

If you have to have a ureteroscopy, the bottom line is that you can generally be assured they they will get the stone(s). Again, I have to focus on the procedure being successful but it honestly is difficult. The whole experience has been worse than several of my previous bouts with kidney stones. However, you need to know that the recovery is not necessarily that easy (based on my experience). You need to plan at least a couple of weeks following the removal of the stents to get over it all.

jazzgtrl4
Regular Member


Date Joined Aug 2009
Total Posts : 285
   Posted 8/19/2015 10:20 AM (GMT -7)   
HI, just had this done last month..Sounds like your experience was a little more difficult than mine. I had one stone that i just could not pass. Last time i had a kidney stone was back in 1999 & 2002. So it had been a long time!! Had the surgery done but i was totally out..Had one stent put in and had some minor bleeding in my urine afterward and some pressure in my back but my urologist said it normal..After a couple days my urine was normal..I had my stent takin out one week later. You're right, this is very strange and uncomfortable but was over in a matter of seconds. The best part was the nurse was hot!..haha. my doc must set this up this way. She comes in, puts on some nice music..get me prepped up..was odd, but didnt suck!. So ya the removal is strange feeling, not painful just an odd with something going up your penis. Hope i don't have to do it again, but i have Ulcerative Colitis as well and its more comment for us with UC to have stones..aint these f'n diseases fun!.

Have you tried drinking lemonade? I started doing that recently as well as a hell of alot more water..i live in a desert.

take care

kstone-man
New Member


Date Joined Aug 2015
Total Posts : 4
   Posted 8/19/2015 11:29 AM (GMT -7)   
Hi. I drink water with lemon in it... I generally don't drink lemonade due to all the sugar. Hopefully, we'll be stone free for a while.

jazzgtrl4
Regular Member


Date Joined Aug 2009
Total Posts : 285
   Posted 8/21/2015 1:25 PM (GMT -7)   
Ya i hear ya on the lemon water, do you just chop up fresh lemons or buy the small lemon looking container from the store where its already done for you? thanks
Lialda 3 a day
Pred 20mg (tapered off)
MMJ/Simpson Oil
Canasa at night
Phillips Probiotic
Mens One a day multi vitamin
Vitamin D

kstone-man
New Member


Date Joined Aug 2015
Total Posts : 4
   Posted 8/21/2015 1:44 PM (GMT -7)   
most of the time I cut up real lemons.

jazzgtrl4
Regular Member


Date Joined Aug 2009
Total Posts : 285
   Posted 8/22/2015 1:57 PM (GMT -7)   
kstone-man said...
most of the time I cut up real lemons.


Ya probably the best bet as i think those lemon juice squeeze things have preservatives in them?

any other pointers to keep stone free?

kstone-man
New Member


Date Joined Aug 2015
Total Posts : 4
   Posted 8/22/2015 6:47 PM (GMT -7)   
I'm reading reviews on Chanda Piedra but I have not tried it yet.

jazzgtrl4
Regular Member


Date Joined Aug 2009
Total Posts : 285
   Posted 8/23/2015 9:36 AM (GMT -7)   
Interesting, just did some reading up on that as well.. I have to go in to see my uroligist in October, ill have to ask him about it. thanks
Lialda 3 a day
Pred 20mg (tapered off)
MMJ/Simpson Oil
Canasa at night
Phillips Probiotic
Mens One a day multi vitamin
Vitamin D

jazzgtrl4
Regular Member


Date Joined Aug 2009
Total Posts : 285
   Posted 9/8/2015 1:57 PM (GMT -7)   
How about this stuff?

Magnesium (Citrate) capsules daily, 250-500mg./day. to prevent stones
Drink 8oz. apple cider vinegar if you get a stone, it will dissolve it.

never heard of using this, but stumbled on it and thought i would ask. thanks
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