<s>[INST] HELP! If it is local, where do they stick the needle??? How long does it take and how will I feel afterwards? I intend having nothing to eat and drink from the evening before because pain makes me sick. I had the stent placed last week after removal of a kidney stone -the stent is between my kidney and bladder. I was offered to have it removed under general but there is a waiting list and the stent is painful and uncomfortable. I just hope this procedure is quick [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Double j stents are placed between kidney and urinary bladder in the ureter. They can be removed easily in local anesthesia the most common way is to just insert lignocain gel in the urethra and wait for 5 to 10 mins then they will pass cystoscope through your urethra and localize the lower end of the stent and pull it out of your urethra it is just a 15 min procedure and you will not be feeling any sort of pain after local anesthesia. Hope I have answered your query. Let me know if I can assist you further. </s>