A double-J stent is a hollow, plastic tube with curved ends on both sides. Medical professionals temporarily place it in the ureter to act as a conduit to pass urine from the kidney to the bladder. One end is placed in the kidney, while the other goes into the bladder.
They usually insert stents after performing surgery in the urinary tract to allow the healing process. Alternatively, they may also use it to relieve pain due to stones in the ureter.
Sometimes, it is a basic requirement to insert a DJ or Double J stent as part of a surgery. Such minor procedures, when done correctly, can improve recovery and reduce postoperative complications.
How is Double J Stent Placed: Before, During and After.
Before placing the DJ stent, doctors diagnose the obstruction in the ureter using a cystoscope and imaging techniques like computed tomography and ultrasound.Â
They may ask the patient to undergo investigations like chest x-ray and electrocardiograms before administering anaesthesia.
During the procedure, healthcare professionals give general anaesthesia to the patient. They introduce a cystoscope into the urethra and advance it into the bladder.Â
On reaching the ureteral orifice, they will insert a thin wire into the ureter through the cystoscope. Then, place a stent over the wire. Finally, they verify the exact location of the stent using a fluoroscope.
After the procedure is complete, the patient may experience mild discomfort in the groin area. The doctor will prescribe painkillers for pain and antibiotics to prevent infection.
Cost of Double J Stent
Description
Cost
 Cost of placing a double-J stent in India
  Rs. 74,000
Cost of placing a double-J stent in Hyderabad
 Rs 68,900
Description
Cost
Number of days in the hospital
 1-2 days
Type of surgery
 Minor
Anaesthesia type
 General anaesthesia
Recovery
 1 to 2 days
Duration of the procedure
 10 – 20 minutes
Surgery
 Minimal invasive
Risks and Complications Of Placing A Double J Stent
A few common complications seen in people with a DJ stent are bleeding, coiling of the stent in the ureter, infection, dislodgement, migration of the stent, and pain in the back and groin area. The stent may migrate and penetrate nearby organs.
Who Needs a DJ Stenting?
Medical professionals recommend a DJ stenting in conditions like obstruction of the ureter by kidney stones, cancerous growths, blood clots, and infections. A stent can also be placed after a urinary tract surgery to divert the urine and heal the operated area.
Frequently Asked Questions about DJ Stenting Surgery
A doctor may advise the patient to keep a DJ stent for as long as six months. Keeping the stent for a longer period can lead to encrustations and formation of stones. The patient can remove or replace the stent as per medical advice.
The patient may experience mild discomfort and pain while urinating. However, the pain is usually mild and should not affect day-to-day activities. Pain generally increases after doing some strenuous activities.
The patient is advised to avoid all types of strenuous activities like jogging, weight lifting, or running. Engaging in intense activities may decrease the pace of recovery.
The DJ stent is useful when the lumen of the ureter is not patent. A few causes of obstruction of the ureter are stones, the presence of a tumour, and blood clots. Doctors may also use a DJ stent during ureteroscopy.
A stent prevents damage to the kidneys. Stents help in the drainage of urine from the kidneys. However, if the stents are not replaced at regular intervals, they may get blocked, leading to chronic renal failure.
Chances of urinary tract infections increase after placing a DJ stent. However, early removal of the stent decreases the chances of an infection.
The patient may experience a small amount of blood while urinating after placing the DJ stent. However, this effect is temporary and there is no need to worry.
Suppose the DJ stent is not removed or replaced in time. In that case, it can cause recurrent urinary tract infections, increase the chances of formation of stones, and increase the chances of haematuria (blood in urine).
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Disclaimer: The information provided herein is accurate, updated and complete as per the best practices of the Company. Please note that this information should not be treated as a replacement for physical medical consultation or advice. We do not guarantee the accuracy and the completeness of the information so provided. The absence of any information and/or warning to any drug shall not be considered and assumed as an implied assurance of the Company. We do not take any responsibility for the consequences arising out of the aforementioned information and strongly recommend you for a physical consultation in case of any queries or doubts.
