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.