What should I do if there is blood in the urine after surgery for ureteral stones?
Apr 23, 2023
Source: Cainiu Health
Dr. Li Mingchuan
Introduction
Ureteral stone surgery usually involves the use of a ureteroscope, which enters the bladder through the urethra, and then employs methods such as holmium laser lithotripsy or pneumatic lithotripsy to fragment the stones. The fragmented stones are typically passed out with urine or removed using ureteral forceps. If the ureteral or bladder mucosa is injured during this process, hematuria (blood in urine) after ureteral stone surgery may occur.
Hematuria after ureteral stone surgery can be managed with general treatment, medication, or surgical intervention. The specific approaches are as follows:
1. General Treatment
Ureteral stone surgery typically involves using a ureteroscope to enter the bladder via the urethra, followed by lithotripsy techniques such as holmium laser or pneumatic lithotripsy to fragment the stones. The fragmented stones are then naturally expelled through urine or removed with ureteral forceps. During this process, if the mucosa of the ureter or bladder is injured, hematuria may occur after surgery. Patients can promote mucosal healing and prevent bacterial infection by appropriately increasing their fluid intake.
2. Medication
If postoperative care is inadequate and the damaged mucosal tissue becomes infected by bacteria, inflammation caused by inflammatory factors may lead to the aforementioned symptoms. In such cases, general treatment alone may be insufficient, and anti-inflammatory medications such as cefixime capsules or levofloxacin hydrochloride capsules should be taken under medical guidance.
3. Surgical Intervention
If improper surgical technique causes ureteral injury or if large stones were not completely removed during the initial procedure, patients may continue to experience these symptoms. In such cases, repeat surgery may be recommended.
It is advised that patients seek timely medical attention for any discomfort following ureteral stone surgery, and maintain a light, bland diet.
