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URETERAL STRICTURES TREATMENT

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What is Ureteral Stricture ?

A ureteral stricture is a narrowing constriction of the ureter. A ureter is the tube that carries urine from the kidney to the bladder. This condition can impede the normal flow of urine and will require medical intervention to get better.

Causes of Ureteral Stricture

Fibrosis or scarring: Radiation therapy, previous operations, or inflammation can all produce scarred tissue that can result in a stricture.

Kidney Stones: Large or recurring kidney stones have the potential to block the ureter and result in a stricture

Infection: The ureter may become inflamed and scarred as a result of severe or persistent urinary tract infections.

Congenital abnormalities: A small or kinked ureter may be present at birth in some individuals, which raises the possibility of strictures

Trauma: A stricture can develop from damage to the ureter caused by trauma or injury to the abdomen or pelvis.

Tumours: The ureter will become compressed or invaded by benign or malignant tumours in or around it, leading to strictures

Inflammatory conditions: Strictures and inflammation can also result from disorders such as interstitial nephritis or ureteral TB

Iatrogenic causes: Procedures such as ureteroscopy, endoscopic surgery and the placement of a stent can sometimes cause strictures.

Radiation therapy: Radiation treatment for certain cancers in the abdominal or pelvic region can damage the ureter and can lead to strictures.

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Symptoms of Ureteral Stricture

Flank pain: sensations of discomfort in the side or back, usually in the region of the ribs closest to the damaged kidney.

Urinary tract infections (UTIs): The obstruction may trigger recurrent UTIs, which will cause symptoms like fever, pain when urinating, and murky or red pee.

Hematuria: The presence of blood in the urine, either visibly or by urinalysis

Urinary urgency or reluctance: experiencing a strong urge to urinate or having difficulty to start urinating.

Decreased urine output: Less frequent urination or a reduction in the flow of urine.

Hydronephrosis: An accumulation of urine in the damaged kidney that might swell and produce pain and discomfort in the affected location.

Urethroplasty

A urethroplasty is a surgical operation used to reconstruct and repair the urethra. It is usually carried out when a stricture in the urethra is preventing the urine from flowing freely. There are several possible causes of urethral strictures, such as trauma, infection, inflammation, et

In order to reach the damaged section of the urethra, the surgeon must make an incision during a urethroplasty. The urethra’s healthy ends are then rejoined after the strictured segment has been excised or enlarged.

Restoring normal urine function can be aided by urethroplasty, which is regarded as the gold standard treatment for urethral strictures. Although it usually involves general anesthesia and may necessitate a hospital stay, this treatment can offer long-lasting relief from urethral blockage.

Nephrostomy

A medical technique described as a nephrostomy involves inserting a small, external tube into the kidney through the skin. When the regular flow of urine is impeded or temporary urine diversion from the bladder is required, this tube is utilized to drain urine straight from the kidney. Nephrostomies are often performed under sedation or local anesthesia and may be required for a number of reasons.

Usually, a drainage bag or collection system is attached to the nephrostomy tube to collect the urine. Typically, the tube is maintained in situ indefinitely until the underlying problem is resolved. Normal urine function can be restored and the nephrostomy tube removed once the issue has been resolved

Urethroplasty Procedure

A urethroplasty is a surgical operation used to reconstruct and repair the urethra. It is usually carried out when a stricture in the urethra is preventing the urine from flowing freely. There are several possible causes of urethral strictures, such as trauma, infection, inflammation, etc.

In order to reach the damaged section of the urethra, the surgeon must make an incision during a urethroplasty. The urethra’s healthy ends are then rejoined after the strictured segment has been excised or enlarged.

Restoring normal urine function can be aided by urethroplasty, which is regarded as the gold standard treatment for urethral strictures. Although it usually involves general anesthesia and may necessitate a hospital stay, this treatment can offer long-lasting relief from urethral blockage.

Nephrostomy Treatment

A medical technique described as a nephrostomy involves inserting a small, external tube into the kidney through the skin. When the regular flow of urine is impeded or temporary urine diversion from the bladder is required, this tube is utilized to drain urine straight from the kidney. Nephrostomies are often performed under sedation or local anesthesia and may be required for a number of reasons.

Usually, a drainage bag or collection system is attached to the nephrostomy tube to collect the urine. Typically, the tube is maintained in situ indefinitely until the underlying problem is resolved. Normal urine function can be restored and the nephrostomy tube removed once the issue has been resolved.

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