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Ureteric Stricture

A Ureteric Stricture refers to a narrowing or blockage in the ureter — the thin muscular tubes that carry urine from the kidneys to the bladder. When the ureter becomes constricted, it can obstruct urine flow, causing discomfort, infections, and potential damage to the kidneys. This condition can occur due to scarring, injury, prior surgeries, stones, infections, or congenital (birth-related) abnormalities.
we offer expert care for Ureteric Stricture, a condition that can significantly affect kidney function and overall health if not addressed on time. Our skilled urologists provide advanced diagnostic methods and personalized treatment plans to ensure effective relief and long-term recovery.
Ureteric Stricture

Symptoms of Ureteric Stricture

The symptoms of a ureteric stricture often depend on how severe the blockage is. Common signs include:

  • Flank pain or lower abdominal pain (typically on one side)

  • Frequent or painful urination

  • Blood in urine (Hematuria)

  • Recurrent urinary tract infections (UTIs)

  • Nausea and vomiting

  • Decreased urine output or dribbling

  • Signs of kidney dysfunction, such as swelling in the legs and fatigue

If left untreated, ureteric strictures can lead to hydronephrosis (swelling of the kidney), kidney infections, and even kidney failure.

Causes of Ureteric Stricture

  • Past ureteric injury or trauma

  • Previous kidney or ureter surgery

  • Kidney stones and stone removal procedures

  • Radiation therapy

  • Long-standing infections (such as tuberculosis or schistosomiasis)

  • Congenital abnormalities

  • Ureteric cancer (less common but serious)

Prevention of Ureteric Stricture

While not all ureteric strictures are preventable, the following measures can reduce the risk:

  • Prompt treatment of urinary tract infections

  • Regular follow-ups after any urological surgery or stone removal

  • Avoiding trauma or injury to the lower back or abdomen

  • Staying well-hydrated to prevent kidney stone formation

  • Managing chronic conditions like diabetes or high blood pressure to avoid complications

Early detection through routine health check-ups and imaging tests is key to preventing severe kidney damage.

Treatment Options

We offer a range of modern, minimally invasive treatments depending on the severity and cause:

  1. Endoscopic Dilation – Gently widening the narrowed section using specialized instruments.

  2. Ureteral Stenting – Inserting a stent to hold the ureter open and allow proper urine flow.

  3. Laser Ureterotomy – Using laser energy to cut the stricture and restore normal flow.

  4. Reconstructive Ureteral Surgery – Removing the narrowed section and rejoining the healthy ends (ureteroureterostomy or ureteric reimplantation).

  5. Percutaneous Nephrostomy – Temporarily relieving obstruction by draining urine directly from the kidney.

  6. Robotic and Laparoscopic Surgery – Offering precision and faster recovery.

Advantages of Timely Treatment

  • Preserves kidney function

  • Relieves pain and discomfort

  • Reduces risk of recurring urinary infections

  • Restores normal urinary flow

  • Prevents kidney swelling and failure

  • Minimizes the need for emergency surgery in the future