In this video, we will disscuss that Double J (DJ) stents are commonly used medical devices inserted into the ureters (the tubes connecting the kidneys to the bladder) to ensure proper drainage of urine when normal flow is obstructed. They are called “Double J” because of their characteristic "J" curves at both ends, which help anchor the stent in the kidney and bladder.
 
Though incredibly helpful in managing conditions like kidney stones, post-surgical healing, and ureteral obstruction, these stents are temporary. Once the underlying condition is resolved, the stent must be removed. One of the most efficient and least invasive ways to do this is through a cystoscopy — a simple outpatient procedure. In this article, we’ll explore the smooth removal of a DJ stent via cystoscopy, what patients can expect, and how to prepare for and recover from the procedure.

What Is a Double J Stent and Why Is It Used?
 
Double J stents are small, flexible tubes inserted into the ureter to allow urine to bypass obstructions, reduce pressure on the kidneys, and ensure continuous drainage. They're most often placed after:
- Kidney stone removal surgeries (like ureteroscopy)
- Episodes of ureteral blockage
- Ureteric strictures or narrowing
- Urological surgeries where swelling might obstruct the ureter temporarily
 
Why Does a DJ Stent Need Removal?
 
While DJ stents are lifesaving in many situations, leaving them in too long can lead to:
- Infection
- Encrustation or stone formation on the stent
- Pain and discomfort
- Migration or breakage of the stent
 
Typically, your doctor will schedule a removal 1–6 weeks after placement, depending on your specific case.
 
What Is Cystoscopic Stent Removal?
 
Cystoscopy is a procedure in which a thin tube with a camera and light at the end — a cystoscope — is inserted into the bladder through the urethra. It allows the urologist to visualize the inside of the bladder and locate the stent. Once visualized, a small grasper tool is used to gently remove the stent.
 
The whole process usually takes less than 10 minutes and is done under local anesthesia (especially in men, where the urethra is longer) or sometimes under sedation/general anesthesia, depending on the patient’s comfort level and the clinical setting.
 
What Does the Procedure Feel Like?
 
For most patients, the removal of a DJ stent by cystoscopy is quick and relatively painless, though it may feel strange or mildly uncomfortable. You might experience:
- A brief stinging sensation during insertion
- A feeling of fullness or urgency to urinate
- A slight pulling sensation when the stent is removed
 
Men may experience more discomfort due to the longer urethra, but urologists are skilled at minimizing pain using anesthetic gel and modern flexible scopes.
 
Before the Procedure: What to Expect
 
- Hydration: Drink plenty of water the day before to ensure a clear urine stream.
- Empty bladder: You may be asked to urinate before the procedure.
- Consent and explanation: The doctor will explain the process and get your informed consent.
- Mild anxiety is normal: Many patients feel nervous, but knowing it’s a short, safe procedure helps.
 
During the Procedure: Step-by-Step
 
1. Positioning: You'll lie down on an exam table, usually on your back.
2. Sterilization: The genital area is cleaned with antiseptic.
3. Anesthetic Gel: Local anesthetic gel is applied to the urethra.
4. Insertion of the Scope: The cystoscope is gently guided into the urethra and bladder.
5. Visualizing the Stent: The doctor locates the curled end of the stent in the bladder.
6. Grasping the Stent: A special tool grasps the stent.
7. Smooth Removal: The stent is gently pulled out.
8. Completion: The scope is removed, and the procedure is done.
  
After the Procedure: Recovery and Aftercare
 
- Mild burning while urinating: This is common and usually lasts for 1–2 days.
- Increased frequency or urgency: Your bladder might be a bit irritated.
- Mild hematuria (blood in urine): Some pinkish urine may appear, but it should clear quickly.
- Pain management: Over-the-counter painkillers (like paracetamol) are usually enough.
- Hydration: Drink lots of fluids to flush out any irritants.
- Follow-up: Your doctor may request an ultrasound or urine test post-removal to ensure everything is healing well.
 
When to Call Your Doctor
 
Although complications are rare, reach out to your healthcare provider if you experience:
- Fever or chills
- Severe pain or burning not relieved by medication
- Heavy blood in the urine
- Difficulty urinating or urinary retention
 
Patient Experience: The Reality of “Smooth” DJ Stent Removal
 
Many patients are surprised at how quick and manageable the experience is. In fact, most describe the process as “easier than expected.” With modern equipment and experienced urologists, the smooth removal of a DJ stent is often a routine, stress-free experience.
 
Having this done in an outpatient clinic means you’re back on your feet within hours, often returning to work or daily activities the same day. In contrast to the discomfort or anxiety some might feel about having a foreign object removed from the body, the reality is usually far less intimidating.
Final Thoughts
 
The removal of a DJ stent by cystoscopy is a small, efficient procedure with a big impact on your comfort and recovery. If you’re scheduled for a stent removal, rest assured — with today’s techniques and tools, it’s smoother and easier than ever. Following your doctor’s guidance before and after the procedure can ensure a speedy recovery and peace of mind.
 
If you found this article helpful, or if you're preparing for your own DJ stent removal, feel free to share your thoughts or questions in the comments section. Your experience could help others feel more confident and informed.

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