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What is DJ Stenting Procedure and Cost? What is DJ Stenting Procedure and Cost?

What is DJ Stenting Procedure and Cost?

Artemis Hospital

July 15, 2024 |
What is DJ Stenting Procedure and Cost? 9 Min Read | 3096

The structural obstruction to urine flow, known as obstructive uropathy, can arise at any level, from the urethra to kidney. This blockage may result in kidney problems due to issues inside the urinary tract, within the walls, or outside of it. There are three possible causes of obstruction: extramural, intramural, and intraluminal. Renal calculi are the primary cause of obstruction in young and middle-aged patients. Obstetrical trauma (trauma during childbirth) and gynecological tract obstruction happens in women, whereas upper obstructive uropathy occurs due to cancer in elderly.

It is a potentially fatal condition, and if the obstruction happens on both sides, urgent action to relieve pressure on the kidney is needed. If it's not done timely, the patient's condition will deteriorate rapidly, leading to uremia, abnormal water-electrolyte balance, and urinary infections, which will ultimately cause a decrease in alertness and may ultimately result in death. One method of managing ureteral obstructions is urinary diversion, which is generally employed in our daily practice when the root cause of the obstruction cannot be managed quickly. Urinary diversion techniques include open kidney drainage, percutaneous nephrostomy, and retrograde double J ureteral stenting. 

In order to relieve urinary obstructions, DJ stenting, also known as double J stenting, is essential because it permits urine to pass from the kidney to the bladder. It lessens discomfort brought on by obstructions like kidney stones and aids in the prevention of kidney damage. Furthermore, DJ stenting promotes rapid healing following urinary tract surgeries or procedures. Let’s know more about DJ Stenting procedure, purpose, and cost.

What is DJ Stenting?

A stent is a flexible, empty plastic tube. The tube that empties urine from your kidney into your bladder is called the ureter. The ureteric stents are inserted into ureters temporarily. The stent can accelerate healing following stone surgery or permit drainage around a stone. A double-J stent is a type of ureteral stent that has curved ends to avoid slipping into the kidney or bladder.

Ureteral stenting, also called double J stent placement, is the process of temporarily inserting a thin, flexible plastic tube in the ureter to aid in the flow of urine from the kidney into the bladder in the event of a blockage. The length of time the stent is left in place can vary depending on the severity of the issue, ranging from days to weeks or even months.

Purpose of DJ Stenting

DJ stenting is done when ureters become blocked as a result of a number of conditions, including:

  • Kidney stones
  • Blood clots
  • Tumors
  • Infection
  • Postoperative swelling

Additionally, a ureteral stent may be implanted during or following urinary tract surgery in order to fasten healing, redirect urine away from leaky areas, manipulate kidney stones or stop them from moving before treatment, or make the ureters easier to observe during surgery.

DJ Stenting Preparation

A cystoscopy, in which a thin tube is inserted into the bladder to examine it, an ultrasound, a computed tomography (CT) scan, and/or pyelography—which involves taking x-rays of the urinary tract after a contrast dye injection—can all be used to diagnose urinary obstruction.

Since the stent is placed under general anesthesia, you will probably require an extensive medical examination, blood tests, a chest x-ray, and an electrocardiogram (EKG). Kindly abstain from food and liquids for six to eight hours prior to the procedure, or as advised by your doctor. Kindly inform the doctor about all the medications you take, as some may need to be stopped prior to the procedure.

DJ Stenting Procedure

To examine the ureter's opening, a specialist will place a cystoscope through the urethra and into the bladder. A thin wire is guided with the help of a cystoscope, up the ureter, and then into the kidney. Stent insertion is done. To position the stent, a fluoroscope—a type of x-ray machine—may be used. After that, the wire and cystoscope are taken out.

The same procedure is followed when it comes time to remove the stent. The stent is removed after a cystoscope is passed through the urethra and into the bladder, and it is grasped with a tiny tool. This is a “local anesthetic only procedure” and you will be awake during the procedure.

Cost of DJ Stenting in India

The average cost of DJ Stenting in India may range from Rs. 30,000 to Rs. 50,000. However, the price of DJ Stenting in India may vary according to a number of factors. 

Factors Affecting Cost of DJ Stenting in India

The DJ stenting cost in India varies according to following factors: 

  • The cost of care can differ greatly between larger and smaller cities, with prestigious hospitals potentially charging more.
  • Renowned and experienced urologists may charge more.
  • Stent prices can vary depending on the type and quality of material used.
  • The total cost may increase if more tests, prescription drugs, or follow-up visits are required.
  • The type of room, amenities, and degree of care offered by the hospital can all affect the cost.
  • The amount of money that is spent out of pocket depends on the health insurance policy's coverage limits.

Also, read: Angioplasty Stent Price in India

Conclusion

In patients with kidney stones, stents are employed for various purposes. They can be positioned to facilitate drainage in cases of infection or renal insufficiency caused by stones, or to help lessen the excruciating pain associated with renal colic. After stone surgery (such as ureteroscopy), stents are often put in to promote healing and make sure that swelling does not obstruct urine drainage.

Frequently Asked Questions (FAQs)

Q1: For how much time is the stent implanted?

A: Several days to a few weeks, contingent upon the purpose of placement. You will be informed by your physician when the double-J stent needs to be taken out.

Q2: Can a stent displace?

A: A double-J stent is usually retained in place by its curved ends. On rare occasions, though, the stent can slide into the kidney or bladder.

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