Item Number: 36833

A day procedure under local anaesthetic, where a flexible cystoscope is placed in the bladder via the urethra to remove a stent placed with previous upper urinary tract work

Why is it done?

To investigate:

  • Haematuria (blood in the urine)
  • Recurrent urinary tract infections
  • Space occupying lesions in the kidneys, ureters, and bladder investigated with ureteroscopy
  • Abnormal cells suggestive of urothelial carcinoma, on urine cytology
  • Removal of stent


Risk factors:

  • Strong family history of bladder cancer
  • Smokers or passive smokers
  • Factory workers: dyes, paints, etc
  • Renal stone disease, bladder stones with recent surgery resulting placement of a stent


How is it done?

  • A cystoscopy is performed by placing a camera in the urethra with the help of a lubricant jelly and saline
  • The bladder is then distended using the fluid
  • The inside of the bladder is viewed for pathology.
  • If any suspicious lesions are seen, a biopsy will be taken.
  • Urine would have been sent for cytology prior to the procedure, to rule out the existence of cancer.
  • Antibiotics may be given to prevent infection.



What to expect after the procedure?

  • Pain on initial passing of urine
  • Bladder infection ranging from a burning sensation to, fever, to puss (rare)
  • Bloodstained urine
  • Lower abdominal discomfort which will persist for a few days
  • NB! Each person is unique and for this reason, symptoms vary.


Indications for a Ureteric stent

  • Hematuria from upper tracts
  • Disobstruction of the ureter caused either calculus, blood clot or tumour
  • External compression of the ureter by   retro-peritoneal pathology ie: Fibrosis,  retroperitoneal lymph node compression
  • Reduced renal function associated with  hydronephrosis
  • Sepsis associated with hydronephrosis


Download Information Sheet

Copyright 2019 Dr Jo Schoeman