Ureteral strictures, what to do with ureteral strictures

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Women with ureters will be relatively narrow, but some are too narrow, so what should I do if the ureteral stricture is too late?

The first ureteral stricture is mainly determined according to the clinical manifestations of the patient, if the degree of stenosis is not very serious, and the patient has no obvious discomfort, this situation, you can not use special treatment, if there is a decline in renal function or hydronephrosis, etc., it is necessary to actively go through surgery to relieve the symptoms, so as not to reduce kidney function, resulting in kidney failure and endangering the patient's life.

Ureteral stricture generally refers to a section of the ureter that is relatively small, which is smaller than normal. Ureteral stricture may lead to fluid accumulation in the upper ureter, hydronephrosis, and renal insufficiency if it is prolonged. In addition, it may cause pain and discomfort in the lower back and abdomen, so it is recommended to go to the hospital in time for an intravenous pyelogram or CTU examination to confirm the diagnosis.

If ureteral stricture is confirmed, minimally invasive surgery is recommended**. Chong Li.

Some people are born with congenital ureteral strictures, so what does congenital ureteral strictures mean?

Congenital ureteral stricture is a congenital stricture that forms somewhere in the ureter, resulting in obstruction of the upper urinary tract and hydronephrosis. It's like there's a lake on top and a stream at the bottom, and the stream becomes narrower, so the flow is not so smooth, and the water in the lake accumulates more and more. Hydronephrosis will definitely have some bad effects on the kidneys, as the range of hydronephrosis increases, the renal cortex will be compressed by the hydronephrosis to become thinner and thinner, resulting in a decline in kidney function, or even a complete disappearance of kidney function.

Strictly speaking, congenital ureteral stricture refers to the congenital stricture of the ureteral junction or uretero-bladder junction, and the most common is ureteral junction stricture. In most cases, ureteral strictures are localized, with diseased ureters about 1 to 3 cm long, and the strictures are generally not inflammatory. This condition is generally caused by the poor development of fibrous muscles in the ureter, the ureteral valve is left to hold or vagus vessel, and the fibrous cord is caused by the compression and twisting of the renal pelvis ureter.

Congenital ureteral stricture is easy to get stones, so is congenital ureteral stricture serious?

Congenital ureteral strictures are not serious. Congenital ureteral strictures can occur in every area, and the most common site of stricture is in the ureteropelvic junction of the renal pelvis, which is mostly caused by congenital malformations of the ureter. If you want to say what are the symptoms of congenital ureterine duct stenosis, it depends on the degree of ureteral stricture.

If a congenital ureteral stricture is only a mild stenosis, there may be no obvious symptoms and it is often discovered incidentally during a physical examination. If the congenital ureteral stricture is moderate to severe, it may present with hematuria, pain in the lower back, soreness in the lower back, and a mass may be felt in the lower back. Pain attacks can be accompanied by gastrointestinal symptoms such as nausea and vomiting.

If urinary tract obstruction is complicated by infection, symptoms such as fever, chills, and pyuria may also occur.

If the patient has ureteral stenosis and hydronephrosis, it is recommended that the patient be surgically treated as soon as possible, usually after the resection of the stricture segment is performed. Stent placement alone is inconclusive and often does not improve the obstruction permanently. If the patient wants to know the detailed diagnosis and treatment plan, it is recommended to log in to the ** and ** experts of Shanghai Jiangdong Hospital (National Urethral Repair and Reconstruction Characteristic Specialized Hospital) to show the patient's image data to the experts, and the experts can analyze the patient's situation in a more targeted manner.

Congenital ureteral stenosis is a kind of narrowing due to the compression of the ureters by intra-abdominal blood vessels in the process of long-term compression, and the symptoms are mostly renal pain, and the renal pelvis is found to have mild water ingress on imaging. Suggestion: The symptoms are mostly swelling and pain in the renal area, and the renal pelvis is mild with water ingress found by imaging, and the surgical effect is remarkable.

There is no medicine that can permanently dilate the already narrowed ureters to normal levels, and since your hydronephrosis is caused by ureteral strictures, it is unlikely that the hydronephrosis will heal without lifting**. There is only one way: surgery.

It must be done as soon as possible, otherwise prolonged hydronephrosis will cause serious damage to the function of the kidneys. Don't delay your condition. 1.

Is it possible to take medication conservatively without surgery**? Because I saw a lot of patients who had surgery on the Internet, they were narrowed after a few years, and I was very worried.

1.The drug ** is ineffective, it is recommended to do laparoscopic ureteroplasty, the specific operation depends on the intraoperative situation, it is not recommended to do dilation surgery directly, in this case, do not rush to surgery. The ureters are connected to the kidneys, and some people like you have ureteral and kidney stones after ureteral surgery, and some have hydronephrosis.

After all, this is a congenital stenosis, if it can also reduce inflammation and relieve pain, it is the best, in case it is very serious and uncomfortable, you also have to go to a big hospital and consult a doctor in detail. Congenital ureteral stricture surgery, ureteral stricture, can affect the discharge of urine from the kidneys, resulting in the condition of hydronephrasis, the degree of hydropsis and the degree and location of the stricture, need to be active**. This kind of congenital stricture needs to be seen by ureterogram to understand the degree of stricture, which can be dilatated through ureteroscopy, or the method of implanting a stent in the stricture can be relieved, and there is no sequelae of this intervention.

Depending on the location of the stenosis and the degree of hydronephrosis, the method is different. If hydronephrosis is mild, ureteral drainage is still unobstructed, and renal function is not affected, regular reexamination is required, and dynamic observation is sufficient. However, most of them require surgery**, because long-term hydronephrosis and intrarenal hypertension lead to atrophy of kidney tissue and impaired kidney function, and surgery is needed to relieve obstruction and save and improve kidney function.

The surgical method is ureteral stricture resection and pyeloplasty. Congenital ureteral stenosis is mainly corrected by surgery, and the surgical method is different according to the type of stenosis. Ureteral stenosis refers to the partial or full narrowness of the ureteral lumen compared with normal due to various reasons, although the continuity of the lumen has not been interrupted, but has caused different degrees of upper urinary tract obstruction and hydronephrosis, the clinical manifestations are low back pain and lumbar distension on the affected side, chills, fever or pyuria in the case of concurrent infection, and uremia can appear in the case of severe bilateral stenosis.

Congenital ureteral stenosis is a kind of narrowing due to the compression of the ureters by intra-abdominal blood vessels in the process of long-term compression, and the symptoms are mostly renal pain.

Congenital ureteral stricture is mainly a narrowing of the ureteropelvic junction of the renal pelvis or a narrowing at the ureterobladder interface.

If the hydronephrosis is not heavy, or there is no progressive aggravation, there is generally no need for special treatment.

If the hydrops persist and cause damage to kidney function, surgery is warranted**. Usually a ureteroplasty surgery is performed, the stricture is removed, and a double J tube is placed during the operation, which generally needs to be left in place for about a month, and then removed by ureteroscopy after surgery.

Congenital ureteral stenosis generally affects the urinary function of the kidneys, causing hydronephrosis on the same side, and in severe cases, it can cause damage to kidney function, so it is found that it needs to be carried out as soon as possible, which can be carried out by ureteral stent implantation or surgery, and the general principle should be surgery as soon as possible.