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painful urinary stent removal
I have had kidney stones removed surgically on three occasions over the past ten years. Each time the Dr. has left a stent in my urinary tract. The first two times the stent had a string attached to it. When the stent was removed it caused minimal discomfort. The third time which was perfomed recently, the Dr. said he preferred not to attach a string to the stent. I agreed, not knowing that I was agreeing to a procedure that was infinitely different from my previous experiences. A week after surgery, I had the stent removed in the doctor's office. No pain medication was administered. The removal of the stent was one of the most painful events I have ever experienced. Twice during the procedure, my bladder was filled with water. This was also extremely painful.
Is there justification for conducting such a procedure without measuires to abate the extres pain that it causes?
Is there justification for conducting such a procedure without measuires to abate the extres pain that it causes?
I had my stent removed this morning. It took about a minute but the worst part of it all was worrying about it. I am a 48 year old male and it was litterally pain free, as long as I stayed relaxed and didn't tense up. Reading some of the horror stories here really scared me. I did hurt really bad about an hour after the procedure was done and the pain lasted a good 3 hours. The pain was located in my kidney. I called the doctors office and they told me it was spasms associated with the procedure. So to the guys out there who are worrying themselves to death about this, don't be. Just relax, don't tense up and it will be over with very quickly. This was my experience and I hope it helps someone.
Coming out of my second lith and not looking forward to my second stent removal, I made plans for the second one to be pulled out under general.
I think the quality of stents and amount of wound response around the stent also play a big role, but at a minimum, just the damage that happens from the cysto going through the urethra each time to get the stent from the ureter is going to cause stinging and irritation afterwards, and there not much you can do about that. ''Most' humans urethras did not evolve to be a two way street (in fact to minimize infections selection is very much the other way), so no matter what, the burning urination will be there when things go the wong direction in there and rough things up. But that usually goes away after a few days. Fortunately your ability to urinate full stream comes back pretty quickly though.
Personally, when I went for the office cysto stent removal the first time from litho for a 10mm stone in the UVJ with the 'evil claw' I nearly cleared out the entire office floor with how loud I screamed. My expectation was that it would be a non issue, driving in in the middle of the day from work figuring it would be like pulling out a few sutures or something.
Maybe it was the stent, maybe the wound response to the stent, or just call me a sissy, but when that evil claw got hold of the stent and they start pulling it, I could only think of a particular torture method used during the inquisition.
Yes, the Intestinal Crank! This method of torture - or rather capital punishment - involved making an incision in the abdominal area, separating the duodenum from the pylorus, and attaching of the upper part of the intestine to a crank. The crank would then be rotated to extract the intestines from the gastrointestinal cavity of the still conscious person. The outcome was always death, but not immediately.
OK, I know that sounds horrible, and a bit overdone, but its just a gentle reminder to those that find cystoscopy and stents painful to start with and the claw a fearful device for stent removal that you should request either
A- quick general for removal if you are in good health and low risk (uro does not like to share money with the anesthesiologist so he'll push back if he can)
B-Or a large gag to bite down on and some PO narcotic if your insurance does not cover.
Unfortunately, if people dont speak up on this enough we wont ever get any improvements in the procedures and devices (if a better stent means no general for removal, the device companies of the world will do more and docs will buy them, and insurance companies will cover them).
I think the quality of stents and amount of wound response around the stent also play a big role, but at a minimum, just the damage that happens from the cysto going through the urethra each time to get the stent from the ureter is going to cause stinging and irritation afterwards, and there not much you can do about that. ''Most' humans urethras did not evolve to be a two way street (in fact to minimize infections selection is very much the other way), so no matter what, the burning urination will be there when things go the wong direction in there and rough things up. But that usually goes away after a few days. Fortunately your ability to urinate full stream comes back pretty quickly though.
Personally, when I went for the office cysto stent removal the first time from litho for a 10mm stone in the UVJ with the 'evil claw' I nearly cleared out the entire office floor with how loud I screamed. My expectation was that it would be a non issue, driving in in the middle of the day from work figuring it would be like pulling out a few sutures or something.
Maybe it was the stent, maybe the wound response to the stent, or just call me a sissy, but when that evil claw got hold of the stent and they start pulling it, I could only think of a particular torture method used during the inquisition.
Yes, the Intestinal Crank! This method of torture - or rather capital punishment - involved making an incision in the abdominal area, separating the duodenum from the pylorus, and attaching of the upper part of the intestine to a crank. The crank would then be rotated to extract the intestines from the gastrointestinal cavity of the still conscious person. The outcome was always death, but not immediately.
OK, I know that sounds horrible, and a bit overdone, but its just a gentle reminder to those that find cystoscopy and stents painful to start with and the claw a fearful device for stent removal that you should request either
A- quick general for removal if you are in good health and low risk (uro does not like to share money with the anesthesiologist so he'll push back if he can)
B-Or a large gag to bite down on and some PO narcotic if your insurance does not cover.
Unfortunately, if people dont speak up on this enough we wont ever get any improvements in the procedures and devices (if a better stent means no general for removal, the device companies of the world will do more and docs will buy them, and insurance companies will cover them).
Coming out of my second lith and not looking forward to my second stent removal, I made plans for the second one to be pulled out under general.
I think the quality of stents and amount of wound response around the stent also play a big role, but at a minimum, just the damage that happens from the cysto going through the urethra each time to get the stent from the ureter is going to cause stinging and irritation afterwards, and there not much you can do about that. ''Most' humans urethras did not evolve to be a two way street (in fact to minimize infections selection is very much the other way), so no matter what, the burning urination will be there when things go the wong direction in there and rough things up. But that usually goes away after a few days. Fortunately your ability to urinate full stream comes back pretty quickly though.
Personally, when I went for the office cysto stent removal the first time from litho for a 10mm stone in the UVJ with the 'evil claw' I nearly cleared out the entire office floor with how loud I screamed. My expectation was that it would be a non issue, driving in in the middle of the day from work figuring it would be like pulling out a few sutures or something.
Maybe it was the stent, maybe the wound response to the stent, or just call me a sissy, but when that evil claw got hold of the stent and they start pulling it, I could only think of a particular torture method used during the inquisition.
Yes, the Intestinal Crank! This method of torture - or rather capital punishment - involved making an incision in the abdominal area, separating the duodenum from the pylorus, and attaching of the upper part of the intestine to a crank. The crank would then be rotated to extract the intestines from the gastrointestinal cavity of the still conscious person. The outcome was always death, but not immediately.
OK, I know that sounds horrible, and a bit overdone, but its just a gentle reminder to those that find cystoscopy and stents painful to start with and the claw a fearful device for stent removal that you should request either
A- quick general for removal if you are in good health and low risk (uro does not like to share money with the anesthesiologist so he'll push back if he can)
B-Or a large gag to bite down on and some PO narcotic if your insurance does not cover.
Unfortunately, if people dont speak up on this enough we wont ever get any improvements in the procedures and devices (if a better stent means no general for removal, the device companies of the world will do more and docs will buy them, and insurance companies will cover them).
I think the quality of stents and amount of wound response around the stent also play a big role, but at a minimum, just the damage that happens from the cysto going through the urethra each time to get the stent from the ureter is going to cause stinging and irritation afterwards, and there not much you can do about that. ''Most' humans urethras did not evolve to be a two way street (in fact to minimize infections selection is very much the other way), so no matter what, the burning urination will be there when things go the wong direction in there and rough things up. But that usually goes away after a few days. Fortunately your ability to urinate full stream comes back pretty quickly though.
Personally, when I went for the office cysto stent removal the first time from litho for a 10mm stone in the UVJ with the 'evil claw' I nearly cleared out the entire office floor with how loud I screamed. My expectation was that it would be a non issue, driving in in the middle of the day from work figuring it would be like pulling out a few sutures or something.
Maybe it was the stent, maybe the wound response to the stent, or just call me a sissy, but when that evil claw got hold of the stent and they start pulling it, I could only think of a particular torture method used during the inquisition.
Yes, the Intestinal Crank! This method of torture - or rather capital punishment - involved making an incision in the abdominal area, separating the duodenum from the pylorus, and attaching of the upper part of the intestine to a crank. The crank would then be rotated to extract the intestines from the gastrointestinal cavity of the still conscious person. The outcome was always death, but not immediately.
OK, I know that sounds horrible, and a bit overdone, but its just a gentle reminder to those that find cystoscopy and stents painful to start with and the claw a fearful device for stent removal that you should request either
A- quick general for removal if you are in good health and low risk (uro does not like to share money with the anesthesiologist so he'll push back if he can)
B-Or a large gag to bite down on and some PO narcotic if your insurance does not cover.
Unfortunately, if people dont speak up on this enough we wont ever get any improvements in the procedures and devices (if a better stent means no general for removal, the device companies of the world will do more and docs will buy them, and insurance companies will cover them).
I feel ya,lls pain they dont do people right that dont have money and its a sick world we living in today.. I was raised very poor and could not afford insurance when i was about 20 or so.. I had work done on my females because i had cancer cells on my ut. I was sent to a doctor and told i had to pay 200.00 for them to burn them off.. They gave me one pill to com me down and it was not a pain pill... So i think it was the worst 10 mins of my life.. while they burnt them off... Now i have had these kidney stones removed and stent put in.. I am having a lot of pain when i go to the bathroom and sometimes not even but a small amount coming out with just pain period... They wanted me to come get it took out this morning without being any pain medication... She told me it would only take about 5 mins but idk because they told me that they would be little pain with the stint and after a few days i can say that was bs!! Cause i am in more pain now than i was with the stones... Its a cold world we live in i feel no one really cares anymore long as they make a buck that is what it is all about!!!
When it comes time to have the string pulled, go to a public hospital and not a military one. Make sure you are medicated when they pull it.. if not knocked out. This was the most painful part of the operation for me. Words can not describe the pain. It was like being stabbed multiple times in both front and back and I am at a complete loss for words for the sensation of the string pull.
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