Who might need urethral stent?
Men who suffer from recurrent strictures of the urethra may be offered a(n) urethral stent. It is usually left in place for 3-6 months and can then be safely removed, when the stricture has “stabilised”.
How is the operation performed?
You will usually be given a light general anaesthetic, though on occasions a spinal anaesthetic will be preferred. Your anesthetist will discuss which one is best for you prior to the procedure.
A cystoscopy (telescopic inspection of the urethra and bladder) is performed. The stricture is identified, assessed and then carefully divided under direct vision (optical urethrotomy) utilizing a special type of endoscopic knife.
The stent is then carefully positioned to bridge the area of the stricture. Once a satisfactory position has been attained the stent is “activated” to hold it in positioned.
What should I expect after going home?
For a few days after your procedure, it is normal to experience any of the following:
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A mild burning when you pass your urine.
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A need to pass urine more frequently, and occasionally more urgently than you usually do.
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Some blood in the urine.
All usually settle quite rapidly without the need for any treatment.
What can I do to help?
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Drink plenty of water.
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Take Ural or Citravescent in a glass of water 4 times a day.
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Take 2 Panadol every 4 hours.
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Take any antibiotics you have been prescribed.
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Avoid constipation.
Are there any possible side effects?
Most procedures are straightforward; however as with any surgical procedure there is a chance of side effects or complications.
Relatively Common
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A burning sensation when passing urine.
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Blood in the urine for a short period afterwards.
Occasional
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Infection requiring antibiotics.
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Insertion of an indwelling catheter if you are unable to pass urine immediately after the procedure. With a stent in place, it is sometimes necessary to insert a suprapubic catheter if you are unable to pass urine, as it can be difficult to pass a urethral catheter.
Rare
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Delayed bleeding requiring removal of clots or further surgery.
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Inability to open the stricture, and the need for a temporary suprapubic catheter.
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Dislodgement of the stent.
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Encrustation of the stent – this happens weeks or months after insertion and usually requires removal.
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Very rarely, some people find a stent painful, and it needs to be removed.