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Ureteral Stricture

Ureteral stricture is the narrowing of the ureteral lumen leading to functional obstruction, caused by factors such as urinary diversion surgery, trauma, congenital anomalies, and infections. Clinical manifestations include blood in urine, decreased urine output, and painful urination, while diagnostic evaluation involves patient history, urinalysis, and imaging techniques. Management options include balloon dilation, endoureterotomy, and ureteral stenting.

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Ashoo Katoch
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21 views11 pages

Ureteral Stricture

Ureteral stricture is the narrowing of the ureteral lumen leading to functional obstruction, caused by factors such as urinary diversion surgery, trauma, congenital anomalies, and infections. Clinical manifestations include blood in urine, decreased urine output, and painful urination, while diagnostic evaluation involves patient history, urinalysis, and imaging techniques. Management options include balloon dilation, endoureterotomy, and ureteral stenting.

Uploaded by

Ashoo Katoch
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as ZIP, PDF, TXT or read online on Scribd
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URETERAL

STRICTURE
DEFINITION
• Urethral stricture is narrowing of the ureteral lumen
causing functional obstruction.
• Urinary diversion surgery

• External traumatic injury

• Congenital anomalies

• Kidney stones

• Prolonge catheter insertion

• Pelvic radiation therapy


CONTD…
• Prostate surgery

• Ureteral tumour

• Benign prostatic hyperplasia

• Untreated or repetitive urinary tract infection

• Sexually transmitted diseases


Types of ureteral stricture
• IATROGENIC- caused by Catheterization,
Instrumentation and prior Hypospadiasis repair

• INFECTIOUS OR INFLAMMATORY- Caused


due to STD

• TRAUMATIC- Due to pelvic fracture.


CLINICAL
MENIFESTATION
• Blood in the semen

• Blood in the urine

• Decreased urine output

• Decreased urinary stream

• Difficulity in urinating

• Discharge from urethra

• Frequent urination
CONT….
• Urinary Retention

• Distended Bladder

• Incontinence

• Painful urination

• Pelvic Pain

• Slow urine stream

• Spraying of urine stream


CONT….
• Enlarge prostate

• Hardness on the under surface of penis

• Redness or swelling of the penis


DIAGNOSTIC
EVALUATION
• Patient history and physical examination

• Urinalysis

• Urine culture and sensitivities

• Serum electrolyte with serum blood urea nitrogen


and creatinine

• Ureteroscopy

• Renal ultrasonography
Cont….
• Intravenous pyelography

• Retrograde pyelography

• Nuclear medicine diuretic scan


MANAGEMENT
• Balloon dilation

• Endoureterotomy

• Ureteral metal stentsdf


•

• Transureteroureterostomy

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