Ureteral stent complications
Background
- Placed to relieve obstructions related to nephrolithiasis as well as those related to trauma, strictures, tumors
Complications and Considerations
- UTI
- PO antibiotics
- Pyelonephritis
- IV antibiotics, call urology, obtain imaging to look at the stent and urinary tract
- Incidental microscopic hematuria
- Microscopic hematuria is usually expected
- Gross hematuria
- Call urology
- Dysuria, urgency, frequency, MILD flank and abdominal pain
- Pain control, rule out UTI and other processes, consider anticholinergics like oxybutynin
- Migration, malfunctioning, malpositioning and/or fragmentation of the stent
- Imaging, call urology
- Erosion of urinary tract and vascular-ureter fistula, retroperitoneal hematoma
- Resuscitation, call urology