Double-J stent placement (ureteral stent)
Surgeries/Urological/Double-J stent

Double-J stent placement (ureteral stent)

Double-J stent in Tunis, Tunisia · Centre Urbain Nord

Placement of a thin flexible tube between the kidney and the bladder to keep urine flowing when the ureter is blocked.

What is it?

A double-J stent, or ureteral stent, is a thin flexible tube placed inside the ureter, the channel that carries urine from the kidney to the bladder. Both ends are curled into a "J" shape, one in the kidney and the other in the bladder, which keeps it in place. It is invisible from the outside. It is placed through the natural passages during a cystoscopy: the urologist passes an endoscope into the bladder, locates the opening of the ureter and slides the stent up to the kidney under X-ray guidance. No incision is needed. The stent allows urine to drain despite an obstruction (stone, narrowing, compression) and relieves the kidney. It is often placed as an emergency in renal colic complicated by fever, or as a planned procedure after ureteroscopy or other urinary tract surgery. It is temporary: it must be removed or changed within the time set by the urologist. At Clinique Pasteur Tunis, stent placement can be arranged as an emergency or as a planned procedure. Patients leave with the date for removal or replacement of their stent, which must be strictly respected.
Double-J stent placement (ureteral stent)

When is it indicated?

Renal colic with fever or infection

A blocked and infected kidney is an emergency. The stent restores the flow of urine and allows antibiotics to work.

Stone blocking the ureter while awaiting treatment

The stent relieves pain and protects the kidney until the stone is definitively treated.

After ureteroscopy or ureteral surgery

It helps the ureter heal and prevents temporary swelling from blocking urine flow.

Compression or narrowing of the ureter

When the ureter is compressed from outside or narrowed, the stent keeps it open to protect kidney function.

Acute kidney failure caused by an obstruction

Relieving the obstruction often allows the kidney to recover its function.

Preparation

1Urine test and blood tests
2Imaging (ultrasound or CT scan) to define the obstruction
3Anaesthesia consultation, shortened in an emergency
4Fasting whenever possible

Procedure

1

General or spinal anaesthesia, or sometimes local anaesthesia

2

Endoscope passed into the bladder through the urethra

3

Locating the opening of the ureter

4

Passing a guidewire and then the stent up to the kidney under X-ray guidance

5

Checking that both curls are correctly positioned

6

Monitoring in the recovery room

Duration

15 to 30 minutes

Aftercare & Recovery

Discharge is the same day or after 24 to 48 hours, depending on the reason for placement (an infection requires longer monitoring). The stent may cause frequent urges to urinate, flank discomfort when passing urine or a little blood in the urine: this is common and disappears once it is removed. Removal takes a few minutes by cystoscopy. The planned removal or replacement date must never be forgotten.

Risks and side effects

Frequent or urgent need to urinate while the stent is in place
Discomfort or pain in the flank, especially when passing urine
Blood in the urine, particularly after physical effort
Urinary infection
Encrustation of the stent if it is left in too long, hence the importance of the removal date

These risks remain rare. Your surgeon will inform you in detail before the procedure.

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At a glance

Duration: 15 to 30 minutes
Preparation: Required
Dedicated specialist team

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