How long will I have blood in my urine after a urological procedure?
It is possible to have blood in your urine off and on for several weeks after urologic procedures. The blood can be tea-colored, pink or bright red; you may even notice some clots. You may have several days where your urine is clear to light yellow and then have some blood, this is normal. As long as you are able to empty your bladder of urine, and can push fluids and the urine clears up, you do not need to contact the office. If you have bright red blood that is very thick and lasts most of the day, or is associated with pain or fever, you should contact the office and discuss this with your provider.
If you have a ureteral stent in place the blood may come and go while you have the stent; this is normal. Make sure to drink plenty of fluids to help “rinse” your urologic system. You may notice when you are more active, there seems to be blood, this is normal. The urologic system has many little blood vessels that can bleed when the stent rubs against the tissue. This does not hurt or harm you and you do not need to limit your daily activity. A small drop of blood in urine can color the entire volume of urine.
I have a ureteral stent in place and have many urologic symptoms, what is normal?
Side effects of stents may include :
- Hematuria or blood in the urine. This can be tea-colored, pink or bright red; you may even notice some clots. The blood may come and go while you have the stent; this is normal. If you have bright red blood that is very thick and lasts most of the day, or is associated with pain or fever, you may need to contact the office and discuss this with your provider.
- Make sure to drink plenty of fluids to help “rinse” your urologic system. You may notice when you are more active, there seems to be blood, this is normal. The urologic system has many little blood vessels that can bleed when the stent rubs against the tissue. A small drop of blood in urine can color the entire volume of urine.
- Pain. There can be flank, side or back pain due to the stent. It may be worse with movement. Some patients experience some discomfort in their bladder, or side the stent is on, during urination. There are medications that can help you with pain management; please discuss this with your provider.
- Urinary urgency and frequency. You may notice you have to urinate very quickly and very often. This is due to location of the stent in the ureter and bladder. There are medications to alleviate these symptoms; please discuss this with your provider.
- Burning with urination. You may experience this with a stent. Many patients tend to notice this as they urinate and right after. It usually resolves on its own a short while after you have emptied you bladder. Medications can help with this symptom; please discuss this with your provider.
You should call your physician’s office if you experience either of these symptoms:
- Fever of 101.5 or greater
- Constant urine leakage that is new for you after the stent has been placed
Where do I check in for Urology surgery?
Day of Surgery check in: Check in will be on 1B Admissions and is located on the main floor of the hospital, behind the main Lobby. Parking for this is outside of the main hospital in lots 8 and 9. There is Valet parking available Monday- Friday from 5am - 8pm, and Saturdays 8-430pm . If you drive up to the front of the hospital, the Valet will be there to assist you during these hours. There is no charge for this service.
Baylis check in: Check in will be on the lower level of the Baylis Building. Parking for this is located behind the Baylis and 751 SIU Clinic Building in the parking ramp off of Miller Street. When entering from the ramp, you may take the elevators in front of you, or take the elevators through the doors and to the right. Select lower level on the elevator and proceed to the surgery desk in the Baylis building.
What should I bring to the hospital on the day of surgery?
- Leave your jewelry and valuables at home.
- Please arrive promptly at the scheduled time, this allows plenty of time for the admission procedures to be completed.
- You will need your insurance information and photo ID. If special financial arrangements are necessary, please call the facility prior to admission.
- A list of your current medications is important to bring.
- Any paperwork your doctor gave you to bring, such as lab work or history and physical form.
- If you prefer, you may bring your own toiletries, otherwise we are happy to supply basic necessities. We ask that you are mindful of other’s possible allergies, and leave scented body sprays and perfumes at home.
- Loose comfortable clothing to wear home after surgery
If I have questions once I am home from my surgery, who do I call?
Refer to the paperwork you were given from the hospital or outpatient surgery area. That paperwork has a contact number listed should you have questions or concerns after discharge.
If a home health agency was set up and has seen you, they are a good resource for any questions you may have. Refer to their information they have provided you for a phone number to contact them.
General Contact information for our Urology providers are below:
Springfield Clinic: Regular hours and after hours TeleNurse service # 528-7541
SIU Urology Clinic: Regular hours #545-7500 and after hours SIU Clinic answering service # 545-8000
How do I take care of my foley catheter?
An indwelling foley catheter is a tube that drains urine from your bladder into a drainage bag. It is held in place by a balloon filled with fluid inside your bladder. While this is in place, please follow the below instructions:
- Wash hands with soap and water before and after handling the catheter and drainage bag.
- Empty your drainage bag once every 8 hours or as soon as the bag is half full. Do not postpone emptying the drainage bag, as this can cause the urine to back up into your bladder and puts you at risk for infection and leakage around the catheter.
- To empty the drainage bag, loosen the clamp or twist the spout on the leg or large bedside bags. Do not touch the tip of the drainage tube.
- Drain the urine directly into the toilet or into a container and then discard the urine in the toilet.
- After emptying the drainage bag you may use a cloth or towel to wipe away any excess urine before closing the clamp or twisting the spout closed.
- Always keep the drainage bag lower than where the catheter comes out of your body. The urine cannot drain uphill or against gravity.
- Check the tubing for kinks, urine cannot drain past a kink.
- Make sure to drink plenty of liquids to keep your bladder “flushed” out. Clear liquids and water are ideal. Try to drink enough fluid that your urine color is clear to light yellow. If you are on a fluid restriction, check with your provider on how much you should drink daily.
- Clean your body where the catheter comes out with soap and water daily. Make sure to rinse well, but do not soak in a tub while the catheter is in place.
- If you wish to rinse your drainage bags, you can do this by rinsing the inside of the bag with warm soapy water and then rinsing it well with clear water. If you notice a strong odor inside the bag, you can fill the drainage bag with a solution that is one part vinegar to four parts water. Let it soak on the inside of the bag for about 30 minutes. Empty the bag and let it air dry.
- Never try to flush or insert anything into the catheter that is coming out of your body.
- Do not cut or attempt to manipulate the Y port that comes off the side of the catheter coming out of your body. This can cause the catheter to become dislodged, and could require an emergent visit to the ER or your doctor for reinsertion of a new catheter.
- Urine leaking around the catheter can occur. This may occur when you are attempting to have a bowel movement due to the intra-abdominal pressure. Some patients experience bladder spasms or cramps that are typically very short in duration and cause leakage around the catheter as it is occurring.
- If you are not having a BM or bladder spasm/cramp, and notice most of your urine leaking around the catheter and not draining into the drainage bag, you should contact your doctor’s office.