Definitions
Ureter: The duct that transports urine from the kidney to the bladder. Stent: A plastic hollow tube that is placed into the ureter from the kidney to the bladder to prevent the ureter from swelling shut.

General instructions
Despite the fact that no skin incisions were used, the area around the ureter and bladder is raw and irritated. The stent is a foreign body which will further irritate the bladder wall. This irritation is manifested by increased frequency of urination, both day and night, and also an increase in the urge to urinate. In some, the urge to urinate is almost always present. Sometimes the urge is strong enough that you may not be able to stop yourself from urinating. The only real cure is to remove the stent to allow the bladder wall to heal, which can't be done until the danger of the ureter swelling shut has passed. (This varies from two to 21 days.)
You may see some blood in your urine while the stent is in place and for a few days afterwards. Do not be alarmed, even if the urine was clear for a while. Get off your feet and drink lots of fluids until clearing occurs. If you start to pass clots or don't improve, call us.

Diet
You may return to your normal diet immediately. Because of the raw surface, alcohol, spicy foods, acidic foods, and drinks with caffeine may cause irritation or frequency and should be used in moderation. To keep your urine flowing freely and to avoid constipation, drink plenty of fluids during the day (eight to 10 glasses). Tip: Avoid cranberry juice. It is very acidic.

Activity
Your physical activity doesn't need to be restricted, but if you are very active you may see some blood in the urine. We would suggest you cut down your activity under these circumstances until the bleeding has stopped.

Bowels
It is important to keep your bowels regular during the postoperative period. Straining with bowel movements can cause bleeding. A bowel movement every other day is reasonable. Use a mild laxative if needed, such as Milk of Magnesia (two to three tablespoons), or two Dulcolax tablets. Call if you continue to have problems. If you were taking narcotics for pain before, during or after your surgery, you may be constipated. Take a laxative, if necessary.

Medication
You should resume your pre-surgery medications unless told not to. In addition, you will often be given an antibiotic to prevent infection. These should be taken as prescribed until the bottles are finished, unless you have an unusual reaction to one of the drugs.

Problems you should report to us
a. Fevers over 100.5 Fahrenheit
b. Heavy bleeding or clots (See above notes on blood in urine.)
c. Inability to urinate
d. Drug reactions (hives, rash, nausea, vomiting, diarrhea)
e. Severe burning or pain with urination that is not improving

Follow-up
You will need a follow-up appointment to monitor your progress. Call for this appointment at the above number when you get home or from the phone in your hospital room before leaving. The first appointment will usually be about three to 14 days after your surgery. Your stent will probably be removed at this time.

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