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Urology (Expert Forum)
Re: incontinence after right ureteral stent placement
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Re: incontinence after right ureteral stent placement
by Jenifer__0__0, Jan 01, 1995 12:00AM
Posted By Jennifer on December 20, 1998 at 14:53:09:
In Reply to: Re: incontinence after right ureteral stent placement posted by HFHS M.D.-KR on December 13, 1998 at 17:01:41:
Please help
Dear Jennifer,
Hydronephrosis is dilatation of the ureter ( the tube that carries urine from the kidney to the bladder ). The common causes during pregnancy are kidney stones and compression from the enlarging uterus. The right side is most commonly affected during pregnancy. This is felt to be due the enlargement of the uterus. It does not occur on the left as often because the colon is in between the uterus and the ureter.
Pregnant women do get kidney stones. Since your hydronephrosis was associated with flank pain and x-rays are minimized in the first trimester of pregnancy, a stent was a reasonable thing to do. Stent pain and bladder irritation can occur and the degree varies from patient to patient. Since no stone was found it might be worthwhile to consider removing the stent with the knowledge that the flank pain could reoccur.
Your bladder problems are most likely related to the stent and will likely resolve after pregnancy. Patients often have variable post void residual volumes of urine in the bladder. 350cc is elevated but this may have been due to the ditropan. Now that you are not taking this medication anymore, things may resolve spontaneously. Your incontinence is almost certainly due to the stent and the resultant bladder irritation. It is important to realize that bladder infection during pregnancy puts you at risk for preterm labor. Everything done to this point has been appropriate.It is best to avoid ditropan. Any time you have burning with urination or new symptoms suspicious for a urinary tract infection, you should be treated. This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653 6568).
HFHS MD-KR
*keyword : hydronephrosis, pregnancy
Thank you for your honest opinion. My OB dr sent me to a different urologist. The stent was removed. The new urologist said the stent was not in proper position... to be blunt it was to tight causing tugging and pulling on everything. I am so thankful they listen to me and checked the stent. The problems with icontinence and retention are gone. Now I just pray I can get through the rest of the pregnancy without anymore hydronephrosis.
In Reply to: Re: incontinence after right ureteral stent placement posted by HFHS M.D.-KR on December 13, 1998 at 17:01:41:
Please help
Dear Jennifer,
Hydronephrosis is dilatation of the ureter ( the tube that carries urine from the kidney to the bladder ). The common causes during pregnancy are kidney stones and compression from the enlarging uterus. The right side is most commonly affected during pregnancy. This is felt to be due the enlargement of the uterus. It does not occur on the left as often because the colon is in between the uterus and the ureter.
Pregnant women do get kidney stones. Since your hydronephrosis was associated with flank pain and x-rays are minimized in the first trimester of pregnancy, a stent was a reasonable thing to do. Stent pain and bladder irritation can occur and the degree varies from patient to patient. Since no stone was found it might be worthwhile to consider removing the stent with the knowledge that the flank pain could reoccur.
Your bladder problems are most likely related to the stent and will likely resolve after pregnancy. Patients often have variable post void residual volumes of urine in the bladder. 350cc is elevated but this may have been due to the ditropan. Now that you are not taking this medication anymore, things may resolve spontaneously. Your incontinence is almost certainly due to the stent and the resultant bladder irritation. It is important to realize that bladder infection during pregnancy puts you at risk for preterm labor. Everything done to this point has been appropriate.It is best to avoid ditropan. Any time you have burning with urination or new symptoms suspicious for a urinary tract infection, you should be treated. This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653 6568).
HFHS MD-KR
*keyword : hydronephrosis, pregnancy
Thank you for your honest opinion. My OB dr sent me to a different urologist. The stent was removed. The new urologist said the stent was not in proper position... to be blunt it was to tight causing tugging and pulling on everything. I am so thankful they listen to me and checked the stent. The problems with icontinence and retention are gone. Now I just pray I can get through the rest of the pregnancy without anymore hydronephrosis.
