When the mid-portion of the ureter is surgically injured, the ureter can be repaired by sewing the two cut ends together as long as the gap between them is less than 3 cm. At the time the ureter is sewn together a stent (plastic tube) is also placed in the ureter. The stent helps the ureter to heal.

Treatment may include:

1. Laparoscopic or robotic surgery.
2. Endoscopy to cut through the blockage, sometimes using a balloon to dilate the ureter.
3. Percutaneous nephrostomy, a needle inserted through the back into the kidney to drain urine.
4. Ureteral stent to drain urine from the kidney to the bladder, bypassing the stricture.

A ureteral stricture frequently results from a buildup of scar tissue or inflammation around the ureter, often due to an external traumatic injury or as a complication of a previous surgery, such as a procedure to manage kidney stones or surgeries that affect the area surrounding the ureters, including gynecologic or …

Narrowing of the ureter tube is called a ureteral stricture. Urine backs up into the kidney and causes side and back pain, sometimes kidney infections, kidney stones or kidney damage to function of the kidney.

Signs and symptoms of urethral stricture include:

• Decreased urine stream.
• Incomplete bladder emptying.
• Spraying of the urine stream.
• Difficulty, straining or pain when urinating.
• Increased urge to urinate or more-frequent urination.
• Urinary tract infection.

Most people who have surgery to correct a stricture feel better about 7 to 10 days after surgery.

Some stones stay in the kidney, and do not cause any problems. Sometimes, the kidney stone can travel down the ureter, the tube between the kidney and the bladder.

If left untreated, a urethral stricture can cause serious problems, including bladder and kidney damage, infections caused by the obstruction of urine flow, and poor ejaculation and infertility in men.

Purpose: It is thought that the 3 narrowest points of the ureter are the ureteropelvic junction, the point where the ureter crosses anterior to the iliac vessels and the ureterovesical junction. Textbooks describe these 3 sites as the most likely places for ureteral stones to lodge.

Ileal ureter replacement is a technically feasible surgery to be performed in any patient requiring ureteral reconstruction despite a normal contralateral kidney. As such, it is a better alternative than nephrectomy in cases of complex and multiple ureteral strictures.

For most ureter repairs, 2-3 hours. If an ileal ureter is needed, 4-5 hours may be needed. Yes, since this procedure involves bladder reconstruction, there will be a bladder catheter from 2-4 weeks after surgery depending on the type of repair.

A Nephrolithotomy (stone removal from the kidney) or Ureterolithotomy (stone removal from the ureter) may be performed using a large skin incision, to expose the kidney or ureter. The surgeon then enters the affected part of the kidney/ureter, to remove the stone.

A urinalysis may be conducted to detect kidney stones. Drinking lemonade may help rid the body of kidney stones. Drinking plenty of water can both dilute the chemicals that cause kidney stones and help them pass. It’s usually best to get rid of kidney stones as soon as possible before they grow too large.

Extracorporeal shock wave lithotripsy (ESWL) is the most frequently used procedure for the treatment of kidney stones. In ESWL, shock waves that are created outside the body travel through the skin and body tissues until they hit the denser stones.