What you need to know about:

Insertion/Removal of Prostatic Stent

Fast Fact

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Average Cost:
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Recovery Period:
Same day discharge
Permanence:
6-8 weeks
177
Doctors
Time it takes:
20-40 minutes
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Anesthetize:
Local Anesthesia

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Overview of

Insertion/Removal of Prostatic Stent

in Thailand

A prostatic stent is a stent used to keep open the male urethra and allow the passing of urine in cases of prostatic obstruction and lower urinary tract symptoms. is a common condition with a variety of causes. Benign prostatic hyperplasia (BPH) is the most common cause for prostatic obstruction. However, obstruction may also occur acutely in other situations such as post ransurethral needle ablation of the prostate (TUNA) for BPH, transurethral resection of the prostate (TURP), transurethral microwave thermotherapy (TUMT), prostate cancer or after radiation therapy. The stents used can either be temporary or permanent.

Goals of

Insertion/Removal of Prostatic Stent

Prostatic stents are used in: Patients with lower urinary tract symptoms due to bladder outlet obstruction Patients with benign prostatic obstruction Patients with prostatic urethral obstruction

Price of

Insertion/Removal of Prostatic Stent

Average Cost

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Price Range

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Pros and cons of

Insertion/Removal of Prostatic Stent

Pros

-The procedure is performed in a short time.

-Bleeding during and after surgery is minimal.

-A short hospital stay, the patient can be discharged the same day.

Cons

-The stent may shift.

-The stent may cause mild discomfort.

-Pain while urinating for some time after the procedure.

-If the stent is not sized correctly or placed correctly, the patient may experience urinary retention or slight incontinence until the problem is corrected.

-Temporary relief of urinary retention may occur (short term). Risk of stone formation on the stent.

How it works:

Insertion/Removal of Prostatic Stent

The stent is inserted inside the prostate on the end of an instrument called a flexible cystoscope. This is a flexible instrument that can look inside the body. You stay awake during the procedure and local anesthetic jelly is placed in the urethra to make the procedure more comfortable. The flexible cystoscope is passed through the urethra into the prostate allowing the stent to be positioned appropriately. The whole procedure takes about 20 to 40 minutes and can be watched on a monitor.  If a stent is to be removed, this is performed by grasping it with a pair of forceps and extracting it through the penis. However, removing stents which have become embedded may require more complex surgery

Preparation before

Insertion/Removal of Prostatic Stent

Pre - treatment

Before the procedure, you will be asked to come in for a pre-assessment to assess your general fitness, screen for a urinary tract infection and to perform some baseline investigations. Usually patients are admitted on the same day as their surgery. If you are taking any prescribed medicines, discuss it with your doctor. You may need to stop taking it before the procedure.

Recovery after

Insertion/Removal of Prostatic Stent

Post - treatment

Drink twice as much fluid as you would normally for the next 24-48 hours to flush your system and minimize bleeding. If you develop a fever, severe pain when passing urine, the inability to pass urine or worsening bleeding, you should contact the hospital immediately. A prostatic stent is usually only a temporary solution to the problems caused by the prostate gland. You will therefore be reviewed on an outpatient basis after 6-8 weeks to consider whether a more permanent solution is appropriate.

Risks & side effects

The procedure may have the following potential side effects. - Common Mild burning or bleeding when passing urine for a few days after the operation. - Occasional Infection of the bladder requiring antibiotics. Migration of the stent requiring replacement or removal. - Rare The stent can worsen urinary symptoms (particularly leaking and frequency), requiring removal. Injury to the urethra causing stricture formation.

FAQs:

Insertion/Removal of Prostatic Stent

Are there any travel restrictions?

If you are taking any blood-thinning medication/anticoagulant, please let your doctor know as some may need to be stopped before you travel for the procedure. Travelers to Thailand should plan to stay in the country for at least three days or for the entire duration of treatment. If you plan to return home after the procedure, please speak to your doctor before making travel arrangements. During your follow-up appointment your medical team will assess your health and your incision and you will receive documents detailing your medical and treatment history and your "Fit to Fly" certificate (if needed).

How long should I have the stent placed in me and when should I have it removed?

In some cases the stent can be removed just a few days after the procedure, while in other cases your Urologist may recommend that it stay in place longer. In general, a stent should be removed (or exchanged) within 3 months.

How are stents removed?

There are two ways to remove ureteral stents. Commonly, the stent is removed by cystoscopy, an outpatient procedure which takes only a few minutes. During cystoscopy the Urologist places a small flexible tube through the urethra (the hole where urine exits the body). Immediately before the procedure we instill sterile lubrication containing local anesthetic (lidocaine) into the urethra to numb the area. You will be asked to urinate after the procedure. Because there is no need for an intravenous (IV) line and the anesthesia is local, not general, you do not have to be accompanied by anyone else and you can eat normally before and after the procedure.  In some instances, your doctor will attach to the stent, a string which protrudes from the end of your urethra. This allows you to remove the stent at home. Your doctor will tell you what day to remove your stent by pulling on the string

What can I expect after removal of the stent?

You may have bloody urine, possibly with some small clots. You may also have aching pain due to ureteral spasms. This generally only last a few hours, but should resolve over the next 2-3 days. Sometimes, mild discomfort can last up to 2 weeks. You may also have burning with urination, with urinary frequency as well.

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