Ureteric stricture

From WikiMD's medical encyclopedia

Ureteric Stricture is a medical condition characterized by the narrowing of the ureter, which is the tube that carries urine from the kidney to the bladder. This condition can lead to various complications, including hydronephrosis, kidney damage, and kidney failure.

Causes

Ureteric stricture can be caused by several factors, including:

  • Infection: An infection in the ureter can cause inflammation and scarring, leading to a stricture.
  • Surgery: Surgical procedures involving the ureter can sometimes result in a stricture.
  • Trauma: Injury to the ureter, such as from an accident or a medical procedure, can cause a stricture.
  • Cancer: Tumors in or near the ureter can cause a stricture.

Symptoms

The symptoms of ureteric stricture can vary depending on the severity of the condition. They may include:

  • Pain: This can occur in the back or side, and may be severe.
  • Blood in the urine: This is a common symptom of ureteric stricture.
  • Frequent urination: Individuals with this condition may need to urinate more often than usual.
  • Urinary tract infection: This can occur if the stricture prevents urine from flowing properly.

Diagnosis

Diagnosis of ureteric stricture typically involves a combination of medical history, physical examination, and imaging tests. These may include:

  • Ultrasound: This can help to visualize the ureter and identify any areas of narrowing.
  • CT scan: This can provide a more detailed view of the ureter and surrounding structures.
  • Ureteroscopy: This involves inserting a thin, flexible tube into the ureter to examine it directly.

Treatment

Treatment for ureteric stricture depends on the cause and severity of the condition. Options may include:

  • Medication: This can help to manage symptoms and treat any underlying conditions, such as infections.
  • Surgery: In some cases, surgery may be needed to widen the ureter or remove the stricture.
  • Stent placement: This involves inserting a small tube into the ureter to keep it open.

See Also

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Contributors: Prab R. Tumpati, MD