Doctor insights on:
Choledochal Stent Placement
Very briefly.: An indwelling ureteral stent is removed in one of two ways. A quick pull on a little string to pull it out of the urethra, or by using a flexible scope to enter the bladder and pulling out the stent with forceps. Both can cause bladder discomfort and some flank pain as it is quickly removed. Some residual pain can linger for a day or two. Pain can be variable with many feeling no pain. ...Read more
Very briefly.: An indwelling ureteral stent is removed in one of two ways. A quick pull on a little string to pull it out of the urethra, or by using a flexible scope to enter the bladder and pulling out the stent with forceps. Both can cause bladder discomfort and some flank pain as it is quickly removed. Some residual pain can linger for a day or two. Pain can be variable with many feeling no pain. ...Read moreSee 1 more doctor answer
Two ways: If the stent is left with a long "string" if intended to be short term, this can be grasped and pulled out easily. If there is no visible string, an office procedure to retrieve it with a flexible fiberoptic scope (cystoscopy) is a rapid and relatively painless method to remove the stent. ...Read moreSee 1 more doctor answer
Dilation of blockage: Using a vascular catheter, not an open surgical procedure, a balloon is used to dilate a blocked artery. This may be followed by placing a stent, a metal alloy support scaffold, can be placed to hold the vessel open. Aggressive medications will be needed to control the risk factors that contributed to the blockage. ...Read more
Whats percutaneous cholecystectomy? Whats transhepatic biliary catheter? Whats biliary stent? Are they effective alternatives to a cholecystectomy?
Possibly: Percutaneous cholecystostomy is a tube placed through the skin into the gb for drainage. Thbc is a tube passed through the skin, the liver, and into the bile duct system, a form of biliary stent. Some stents can be passed into the lower duct using an endoscope through the stomach. Any may be necessary in some cases, but cholecystectomy would be the gold standard in most cases. Good luck. ...Read more
Can be normal: After removing a stent following ureteroscopy, it may feel like a "stone" is still there. This usually resolves within 48 hours and is a result of swelling in the "kidney tube". Use pain relievers as prescribed and it should improve with time. If it doesn't, you are having fevers above 101 f or have nonstop nausea/vomiting, then seek medical attention. ...Read moreSee 1 more doctor answer
PCNL: Minimally invasive surgery for removal of large kidney stone/s. Nephrostomy tube (catheter) is placed in kidney thru skin in back or flank, either under local anesthetic & with sedation or general anesthesia day before or day of procedure. Then nephroscope (kidney telescope) passed thru catheter channel, stone is visualized & broken up with laser or percussion "gun" & fragments are irrigated out. ...Read more
Heart vessel therapy: Percutaneous transluminal coronary angioplasty (PTCA) is the opening of blocked heart arteries with a balloon. An artery is stuck and a wire is passed in the system until reaching the heart arteries. A balloon is passed over the wire to the area of blockage and inflated. The blockage is flattened but it can return. So most patients actually get stents placed. Stents require blood thinners. ...Read moreSee 1 more doctor answer
Catheter: Directs a small guidewire through the blockage to keep the access. Lesion pre dilated with a balloon if needed. Stent placed. Ballooned again if needed. Pictures made. Finished. ...Read more
Yes: Is not possible to have bypass surgery without first having cardiac catheterization. The surgeon requires a detailed picture of the coronary anatomy to know if the patient is suitable for bypass surgery and to know where to put the bypass grafts during the operation. ...Read moreSee 1 more doctor answer
I had surgery to remove 2 stones in ureter after surgery developed urinoma from ruptured ureter, stent in place for 19 days will rupture heal itself?
Rx of renal art sten: 33 asks Should renal artery stenosis (RAS) be treated by stenosis or bypass. RAS should only be treated if it is cause of high blood pressure, Only reliable way to tell is to collect blood from veins draining each kidney and measure hormone renin. If stenotic side side has high renin & meds fail to control BP then repair depends on what is causing blockage and how bad it is. I specialize in this ...Read moreSee 2 more doctor answers