How long are you in the recovery room after ureteroscopy?
If you have a stent, you will need to come back in 1 to 2 weeks to have it removed. After Ureteroscopy, you will be taken to a recovery room where you can stay for a few hours in the hospital. You can leave as soon as the Urologist discharges you.
Your Recovery
But you may need to stay in the hospital. If you do, the stay is usually no more than 24 to 48 hours.
Diet and Activity
Please avoid any heavy lifting more than 10 lbs or strenuous physical activities altogether for several days and then ease back into your regular activity. Staying well hydrated is recommended to help dilute the urine and flush away any potential debris or residual bleeding.
Most people can go back to their regular daily activities 1 or 2 days after this procedure. Drink a lot of water in the weeks after treatment. This helps pass any pieces of stone that still remain.
Most people can resume their usual activities about a day after the procedure. If you feel very tired or experience pain in your kidney area, however, you may need to avoid intense activity and rest for an extra day or two.
You will also get a prescription for pain pills. You can use these prescription pain pills in addition to acetaminophen every for hours. Do not exceed 4000mg acetaminophen per day. You may also be given a prescription for tamsulsin (Flomax), this helps relax the urinary system and ease discomfort from the stent.
The most frequent reason for ureterorenoscopy is the necessity to remove calculi from the ureter and/or kidney. After completing this procedure the Foley catheter is inserted in the bladder.
NO driving a car and limit long car rides for 2 weeks. NO strenuous exercise, limit stair climbing to minimum for 4 weeks. NO severe straining during bowel movements – take a laxative if necessary. DO drink plenty of fluids to keep your urine flow brisk.
After anesthesia, begin with clear liquids. Avoid heavy meals on the day of the procedure. You may resume your normal diet. Drink plenty of water.
Diet: You may return to your normal diet immediately. Because of the raw urinary tract surfaces, alcohol, spicy foods, and drinks with caffeine may cause some irritation or frequency of urination and should be used in moderation.
Can you poop after kidney stone surgery?
It is important to keep your bowels regular during the post-operative period. Very large and hard stools that require straining to pass can cause bleeding. You may be given stool softeners to prevent constipation. If needed, you may take a laxative such as milk of magnesia, Dulcolax.
Ureteroscopy is typically performed under general anesthesia, and the procedure usually lasts from one to three hours. If the stone is small, it may be snared with a basket device and removed whole from the ureter.
Your healthcare provider gently pulls on the string to remove the ureteral stent. If you need a ureteral stent for a few weeks or longer, the stent won't have a string. Your provider removes the stent during a minor office procedure. You may get X-rays or an ultrasound before removal.
Conclusion: Routine placement of a ureteral stent is not mandatory in patients without complications after ureteroscopic lithotripsy for impacted ureteral stones.
You may have bloody urine, possibly with some small clots. You may also have “achy” pain due to ureteral spasms. This generally only last a few hours, but should resolve over the next 2-3 days. Sometimes, mild discomfort can last up to 2 weeks.
-It is common to feel pain in your back (on the side of your body where the stent is) when passing urine. For most patients the symptoms are minor and can be tolerated.
Postoperative Pain: Most patients after ureteroscopy experience mild to moderate pain in the flank and/or bladder area. This is generally well controlled by use of oral narcotics (pain medication) such as Percocet or Vicodin.
Pain management
Your doctor may recommend a non-steroidal anti-inflammatory drug (NSAID) like ibuprofen or diclofenac. A warm bath can also help. If your pain is more intense, you may need a stronger painkiller. Your doctor may also give you medication to help make it easier to pass pieces of stone.
Ureteroscopy costs $2645 on average and has an overall complication rate of 10% to 20%. Three to five percent of the procedures cause major complications (eg, ureteral avulsion).
Postoperative Instructions
If present, you may shower immediately after discharge but please no baths until the stent is removed. If the stent is placed without a string Page 5 you may take a bath after being discharged. Prior to discharge from the hospital you will be told if the stent has a string attached to it.
Do you need antibiotics after ureteroscopy?
In the United States the 2012 AUA guidelines9 recommend antibiotic prophylaxis in all patients scheduled for an endourologic intervention. In cases undergoing ureteroscopy for ureteric stones Preminger et al. recommend antibiotic prophylaxis regardless of the urine culture outcome.
Please do not shave the hair yourself or use a razor to remove hair, as this can increase the risk of infection.
Ureteroscopy produced slightly higher overall quality of patients' life, but produced a significant higher overall cost per quality-adjusted life year (QALY) than shock wave lithotripsy, exceeding the cost-utility threshold (20,000€/QALY). Sensitivity analysis confirmed results in 93.65% of cases.
You may need to give a urine sample. This is to make sure you don't have an infection. Before the procedure, a health professional will clean the area around your urethra. He or she will also put numbing gel inside your urethra.
Water is best. You can also drink ginger ale, lemon-lime sodas, and fruit juices. Drink enough liquids throughout the day to make at least 2 quarts (2 liters) of urine every 24 hours.
