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DJ Stenting for Kidney Stones

A DJ stent is a thin, flexible plastic tube that is temporarily placed in the ureter to aid drainage of urine from the kidney to the bladder in the event of an obstruction. If you have been diagnosed with kidney stones that may hinder the flow of urine and necessitate the placement of a DJ stent, consult the best urologist in India at Pristyn Care for DJ stenting and DJ stent removal.

A DJ stent is a thin, flexible plastic tube that is temporarily placed ... Read More

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    Dr Ankit Kumar (Id6NCCAzQu)

    Dr Ankit Kumar

    MBBS, MS-General Surgery, M.Ch-Urology
    13 Yrs.Exp.

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    13 Years Experience

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    Dr. Srikanth Munna (KBJCSTb09N)

    Dr. Srikanth Munna

    MBBS, DNB, M.Ch-Urology
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    18 Years Experience

    location icon Hyderabad
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    Dr. Praveen B (dv7S8UfzO1)

    Dr. Praveen B

    MBBS, DNB (GS), DNB (Uro)
    16 Yrs.Exp.

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    16 Years Experience

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    Dr. Sujoy Basak (xPtJCzPl7o)

    Dr. Sujoy Basak

    MBBS, MS, DrNB-Urologist
    16 Yrs.Exp.

    4.6/5

    16 Years Experience

    location icon Kolkata
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  • What is a DJ Stent?

    DJ stent meaningA DJ Stent (ureteral stent) is the short form for double ‘J’ stent. A DJ stent is a thin, flexible tube that is placed in the body from the kidney to the urinary bladder. Double-J (DJ) stents are among the basic and commonly used tools in urology in many procedures since its first introduction in 1967.

    The stent has curves and is inserted into the ureter to aid urine drainage from the kidney into your bladder. The stent allows drainage around a stone or can encourage healing after any type of kidney stone surgery. A DJ stent can be kept from days to weeks and months, depending upon the requirement. 

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    Best healthcare centre for DJ stenting in India

    Pristyn Care houses some of the best urologists in India who hold years of experience in treating kidney stones with different surgical approaches. They have treated several cases where DJ stenting and DJ stent removal was an intrinsic part of the whole process. Pristyn Care is associated with some of the best hospitals across multiple cities of India that are equipped with modern-age medical and surgical equipment and infrastructure that ensure the best surgery for kidney stones in India.

    What does a DJ stent do?

    A DJ stent does the following:

    • It helps in dilating the ureter. 
    • It aids in keeping the ureter open all the time.
    • DJ stents have multiple holes. It facilitates the urine in traveling and prevents any damage to the kidneys.
    • It helps prevent strictures or narrowing during the healing process after kidney stone surgery. 
    • It aids in flushing kidney stones. The stents help the body in pushing kidney stones out of the body.

    DJ Stent Uses

    DJ stents are primarily used for various reasons in patients with kidney stones. The stent may be placed in the ureter to reduce sharp pain caused due the kidney stones and to felicitate urine drainage in case any infection is present or if the stones prevent the kidney from working adequately. The stents are generally placed after kidney stones surgery to allow quick healing and to prevent urinary blockage due to any swelling after the surgery.

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    When should DJ Stent be removed?

    The necessity of a DJ stent removal depends upon the lifespan of the material used. A DJ stent generally needs to be removed or replaced within In case the lifespan of the DJ stent material expires and the stent is not removed within the specified time, different complications may arise such as:

    • breakage of the stent into smaller fragments
    • broken pieces of the stent may enter into the bladder
    • the stent breakage may obstruct urine flow
    • bleeding, infections and stent migration 

    Forgotten DJ stents can be a source of severe morbidity. If ureteral stents are kept for more than one year, removal may require auxiliary procedures like shock wave lithotripsy (SWL), ureteroscopy (URS) and percutaneous nephrolithotomy (PCNL). Hence all patients with DJ stents need to avail proper counseling for long-term complications of DJ stents and the importance of their replacement or removal. 

     

    DJ Stenting Procedure

    How is a DJ stent placed?

    A DJ stenting is usually performed under anesthesia. The doctor decides whether to use a local or general anesthesia. Once the person is sedated, the doctor inserts a thin tube with a tiny optic camera into the urethra. Using the camera, the doctor inspects the ureteral opening. The urologist may recommend x-ray to assess the urinary tract and locate the obstruction. The doctor uses a glidewire to slide the stent into the ureter.

     

    Types of DJ Stent removal

    Standard removal of DJ stent (cystoscopy)

    • Procedure – The DJ stent extraction is done in the lithotomy position.
    • Features – The DJ stent is removed with a rigid endoscope.
    • Pain involved – Mild to bearable pain

    Flexible removal of DJ stent

    • Procedure – The DJ stent extraction is done in the lithotomy position.
    • Features – The DJ stent is removed with a fiberoptic endoscope.
    • Pain involved – mild discomfort and no pain.

    FAQs on DJ Stenting

    Does DJ stent cause any symptoms?

    Yes, many people feel discomforting symptoms after using a DJ stent. Most commonly reported symptoms to include bladder irritation, pain in the lower abdomen, blood in the urine,burning sensation while urinating, frequent urination, and spasms of the ureter or the bladder. If the symptoms persist continuously, it is important to get in touch with a urologist at the earliest.

    How long does it take to remove a DJ stent?

    If DJ stent removal is done by an expert urologist, the procedure takes not more than 5 minutes. However, the duration from shifting the patient to the operating theater and shifting back to the private room may require almost 30 minutes.

    Is DJ stent removal painful?

    In most cases, DJ stent removal is tolerable and does not cause any significant pain. The entire procedure is done under anesthesia, so the patient does not feel any pain.

    Is DJ stent removal an outpatient procedure?

    Yes, DJ stent removal is an outpatient procedure and the procedure takes only a few minutes.

    How many days rest is required after stent removal?

    Usually, a person can resume normal day-to-day activities by the next day of the stent removal. But it is advised to limit physically strenuous activities for at least 4-6 days after the stent removal.

    What are the best recovery tips after stent removal?

    • Rest your body after the removal of the DJ stent.
    • Give your body enough time to heal.
    • Refrain from running, walking fast or lifting any heavy objects.
    • Drink healthy fluids only. Avoid caffeinated beverages and alcoholic drinks as much as possible.
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    Content Reviewed By
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    Dr Ankit Kumar
    13 Years Experience Overall
    Last Updated : September 26, 2024