Ureteric Stricture is a condition in which the ureter, the tube that connects the kidney to the bladder, becomes narrowed. This narrowing can be caused by scar tissue, inflammation, or injury. Ureteric strictures can occur at any point along the length of the ureter and can be either short or long in length. This can cause a blockage in the urinary tract, leading to symptoms such as pain, difficulty passing urine, and an increased risk of kidney infections. Ureteric Strictures are relatively rare, affecting only about 1-2% of the general population. They are more common in men than in women and tend to occur most frequently in people over the age of 50.

In addition to causing pain and difficulty passing urine, ureteric strictures can also lead to a buildup of pressure in the kidney, which can cause it to become enlarged and lose function over time. This can increase the risk of complications such as kidney stones, urinary tract infections, chronic kidney disease pain, difficulty urinating, blood in the urine, and kidney damage. If you experience any of these symptoms, it is crucial to seek medical attention to receive timely and appropriate treatment.

Symptoms of Ureteric Stricture

The symptoms of ureteric stricture can vary depending on the severity and location of the narrowing. Common symptoms include: Ureteric stricture is a rare but potentially serious condition that can cause various symptoms, such as:

• Flank Pain: Pain in the sides of the abdomen, specifically in the area of the kidneys, is a common symptom of ureteric stricture. Pain in the side of the abdomen or back, usually on one side, is a common symptom of ureteric stricture. The pain may be dull or sharp and can come and go.
• Urinary Obstruction: Ureteric strictures can cause partial or complete obstruction of the ureter, leading to difficulty in the flow of urine. This can result in decreased urine output or even urine back up into the kidneys.
• Hematuria: Blood in the urine, known as hematuria, can occur due to irritation or damage to the urinary tract caused by the stricture. The urine may appear pink, red, or brown in color.
• Urinary Frequency: Increased frequency of urination, where you feel the need to urinate more often than usual, can be a symptom of ureteric stricture. This occurs as the narrowed ureter affects the normal urine flow.
• Urinary Retention: In some cases, ureteric stricture can lead to difficulty fully emptying the bladder, resulting in urinary retention. This can cause a persistent feeling of incomplete bladder emptying or the need to strain while urinating.
• Recurrent Urinary Tract Infections: Ureteric strictures can increase the risk of urinary tract infections. If you experience frequent UTIs, especially in conjunction with other symptoms mentioned earlier, it may be an indication of a ureteric stricture.

Kidney Stones: Ureteric strictures can create an environment that promotes the formation of kidney stones. If you have a history of recurrent kidney stones along with symptoms like flank pain or blood in the urine, it may be worth investigating the possibility of a ureteric stricture.

Remember that symptoms can vary from person to person, and not everyone may experience all of these symptoms. If you are experiencing any concerning symptoms or suspect a ureteric stricture, it is important to consult with a healthcare professional for a proper evaluation and diagnosis..if left untreated, ureteric strictures can lead to serious complications and may ultimately require the removal of the affected kidney. Early diagnosis and treatment can help prevent further complications.

Causes of Ureteric Stricture
 

If you suspect that you may have a ureteric stricture, it is important to seek medical attention promptly to prevent complications. In some cases, ureteric strictures can lead to kidney damage, chronic kidney disease, or recurrent urinary tract infections if left untreated.

• Infection: Ureteric strictures can develop as a result of repeated urinary tract infections (UTIs), which can cause scarring and inflammation in the ureter.
• Injury: Trauma to the ureter, such as from a car accident or a fall, can also cause strictures to form.
• Surgery: Ureteric strictures can occur as a complication of certain surgeries, such as those involving the urinary tract or reproductive organs.
• Radiation Therapy: In rare cases, radiation therapy for certain types of cancer can lead to the development of ureteric strictures.
• Congenital Abnormalities: Some people may be born with a narrow ureter, which can increase the risk of developing a stricture later in life.
• Fibrosis: Fibrosis, or the formation of excessive scar tissue in the ureter, can lead to narrowing and obstruction of the urinary tract.
• Foreign Bodies: Rarely, foreign bodies such as stones or catheters can cause ureteric strictures by causing physical damage to the lining of the ureter.
• Medications: Certain medications, such as chemotherapy drugs or immunosuppressants, can cause inflammation and scarring in the ureter, leading to strictures.
• Idiopathic: In some cases, the cause of ureteric stricture is unknown, which is referred to as idiopathic ureteric stricture.

If you suspect that you may have a ureteric stricture, it is important to seek medical attention promptly to prevent complications. In some cases, ureteric strictures can lead to kidney damage, chronic kidney disease, or recurrent urinary tract infections if left untreated. It's important to note that the causes of ureteric stricture can vary from person to person, and in some cases, multiple factors may contribute to its development. A thorough medical evaluation by a urologist can help determine the underlying cause and guide appropriate treatment.

At MASSH, we offer a range of non-surgical and minimally invasive treatment options to help relieve your symptoms and improve your quality of life. Our team of experienced urologists can provide a thorough evaluation and recommend the most appropriate treatment plan based on your individual needs. Don't suffer in silence, contact us today to schedule an appointment.