Ureteral stricture: Causing and Treatment

Ureteral stricture: Causing and Treatment
Dr Pom Getbutton

Soarawee Weerasopone, Urologist

Samitivej Sriracha hospital, Thailand
We Wellness clinic, Chonburi Thailand

Royal Phnom Penh hospital, Cambodia

Ureteral stricture is a condition that spin around my urology clinic. Most of patients have been sent from the other clinics by various causes of etiology, some are symptomatic, and some are not. This kind of condition need a carefully history taking as well as physical examination along with a proper imaging investigation before discussion of the root cause and treatment options to the patients. Today we are going to talk about this problem, ureteral stricture.

Causing of ureteral stricture

Ureteral stricture: Causing and Treatment
The first thing we must find out is, any history of intra-abdominal cancer or not?
  1. Malignancy – Urinary tract cancer or cervical cancer
  2. Presence or history of ureteral stone
  3. History of radiation
  4. Ischemia or trauma caused by surgical dissection
  5. Periureteral fibrosis caused by abdominal aortic aneurysm or endometriosis
  6. History of endoscopic surgery
  7. Renal ablation injury
  8. Infection – Tuberculosis
  9. Unknown condition
Ureteral stricture: Causing and Treatment
History of kidney stone or ureteral stone is an essential history

2 essential questions that we must keep in mind when dealing with ureteral stricture.

  • Can we preserve the kidney function?
  • Is there any malignancy-related problem?

After we make a provisional diagnosis, then we will choose the proper investigation to clarify our assumption. The treatment options will vary from observation, endoscopic procedure till surgical exploration depend on the following factors

Ureteral stricture: Causing and Treatment
After we gather all required informations, then we must discuss with the patient about the treatment which tailor-made for individuals.
  1. What is the root cause?
  2. Is it symptomatic?
  3. Is there any kidney function disturbance from ureteral stricture?

Unfortunately, ureteral stricture disease most of it considered as a life-long issue so the principle of treatment will do the best by not harming patient as much as we can and keep maintain their quality of life. Please talk to your trusted urologist or you can leave a message to me.

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