Post URS Pain?

Illustration of Post URS Pain?
Illustration: Post URS Pain? mykidneystone.com

I want to ask why after urs 3 days ago urinating was painful. Is this the impact of the Urs? How long does the pain usually last? n nOne more thing, the results of the x-ray and the negative urs of the stone turned out to be a narrowing. Can it be cured? What’s the cause? N nThank you.

1 Answer:

Hello, good morning Istiiayolanda.


Pain during urination after URS (Ureteroscopy) can indeed be a common thing. This occurs due to trauma to the urinary tract during the procedure. The possibility of pain will increase if the procedure is accompanied by the installation of a stent. Pain usually ranges from mild to moderate in the bladder (lower abdomen), waist, and right / left side of the stomach. This pain is usually felt within the first 24-48 hours after the URS procedure.


If the pain persists for more than 48 hours after the URS procedure, it is necessary to be aware of other possibilities that can cause pain during urination, including:

Urinary Tract Infection (UTI)
Retention of blood clots that occurred during the procedure
Perforation of the ureter (severe treauma in the ureter causing a hole in the ureter)
Ureter stricture (narrowing of the ureter)
etc.


Thus, if the pain you feel is prolonged, we strongly recommend that you consult and re-control your urologist to find out the exact cause of the complaint you are experiencing, whether it is a normal post-treatment reaction or other conditions. The doctor will do questions and answers about complaints, see a history of the procedures that have been performed and the treatment that has been given, and perform a physical exam on you. If needed, the doctor may order additional tests such as urine lab tests, ultrasound, X-rays, etc.


Meanwhile, while waiting for the schedule to return to your urologist, keep taking the medicines given by the doctor who treats you. Consume plenty of water at least 8 glasses a day. Immediately consult your doctor or the nearest Emergency Unit if the pain you experience is getting worse, can not urinate at all, or is accompanied by high fever.


Regarding the narrowing of the urinary tract that you convey, can occur for several things, one of which is related to the procedure of inserting a device into the urinary tract such as the URS that you are undergoing. In addition, narrowing of the urinary tract can also occur due to a history of previous urinary tract infections that leave scar tissue, sexually transmitted infections, long-term use of catheters, etc. There are several medical procedures that can be done to seek relief from this narrowing condition (stricture), including:

dilation (widening) by inserting a small cable into the urethra (if the narrowing occurs in the urethra) to the bladder. This procedure is carried out gradually and repeatedly.
Urethrotomy, which is a tissue cutting procedure that causes narrowing
Urethroplasty, which is the removal of narrowed tissue
etc.


Hope this helps


Greetings from dr. Denisa

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