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Study of Aetiology, Pathology and Management of Ureteric Strictures

Amar Kumar Repaka , V Vishnu Vardhana Reddy1 , Amar Kumar Repaka2

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Urology, Nephrology and Andrology International 4(2):p 43-47, July-December 2019. | DOI: DOI: http://dx.doi.org/10.21088/unai.2456-5016.4219.2

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V Vishnu Vardhana Reddy, Amar Kumar Repaka. Study of Aetiology, Pathology and Management of Ureteric Strictures. Urology, Nephrology and Andrology International. 2019;4(2):43–47.

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Abstract

Background: Management of ureteric strictures is a challenging task. Subtle presentation, silent progression and complex aetiology may delay diagnosis. Aims: Evaluate daetiology, pathology and management of ureteric strictures at a tertiary care health centre. Materials and methods: This is a prospective study conducted in department for a period of study was 2 years. Total of 26 patients suspected of ureteric strictures were studied. Results: In 26 patients Iatrogenic 10 (38.46%) and idiopathic 6 (23%) are common causes. Other causes includes genitourinary TB, calculus. Flank pain 10 (57.7%) was most common symptomatic presentation followed by UTI and non specific symptoms. 15 are upper ureter strictures and 11 are lower ureter strictures. Upper ureter strictures of <2 cm is more common 7 (26.9%) followed by 5–10 cm lower ureter strictures 6 (23%). Altogether 5–10 cm strictures are most common in study 9 (34.6%). Most of patients had Uretero ureterostomy as upper and mid ureteric strictures. Surgery failed in 2 cases, among which one required nephrectomy, and another required redo surgery. Success rate is 92.3% after surgery. Conclusion: Significant advances in technique and technology have led to an improved ability to treat ureteral strictures without the need for open surgery in many patients.

Keywords: Of ureteric strictures; Iatrogenic; Uretero ureterostomy.

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Cite this article

V Vishnu Vardhana Reddy, Amar Kumar Repaka. Study of Aetiology, Pathology and Management of Ureteric Strictures. Urology, Nephrology and Andrology International. 2019;4(2):43–47.

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DOI: DOI: http://dx.doi.org/10.21088/unai.2456-5016.4219.2

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