80% of patients will have discomfort from their stent. Often this is cramping in the bladder or in the kidney; at times worse with urinating. A variety of medications can be tried to help with this:
1. Alpha-blockers (flomax, uroxatral, cardura etc) – helps primarily with kidney pain from stents
2. Anticholinergics (detrol, ditropan, sanctura etc) – helps primarily with bladder spasms
3. Ketorolac – a non-steroidal pain medication that can be very helpful (sometimes better than narcotics)
The main other thing is to have your stent removed as soon as possible. After an uncomplicated ureteroscopy, one should be able to have the stent removed in 7-10 days. Exceptions would be if there was an inordinate amount of swelling in the ureter, scarring in the ureter or other complicating factors.
Lastly if the pain is severe, often a foley (urethral) catheter will help alleviate some of that pain.