Ureteric Stricture

Dr. Rajesh Dhake - Ureteric Stricture

Ureteric Stricture

The ureter is the tube that drains urine from the kidney down to the bladder. In some conditions, a portion of the ureter can be narrowed, which is called a stricture.This can be congenital, or the result of scarring from previous surgery, urinary stones, or other causes.Patients undergoing treatment such as a ureteroscopy for kidney, ureteric stone management or urinary diversion is at great risk for developing ureteral stricture.

Diagnosis of Ureteric Stricture

Symptoms of ureteral stricture may include pain, loin lump, flank tenderness, and/or urinary tract infection.

Anterior view of urinary system, left side and bladder in coronal section showing ureteral stricture at left ureteropelvic junction and dilated kidney with urine reflux. SOURCE: pickup from 60533

60532A Also in 40091_3, originally based on 5A11872  MOD: Added stricture and dilated kidney with urine reflux, from 40099_1

Ureteric Stricture Causes

It is diagnosed by IVU (intravenous urogram) or retrograde urethrogram to determine the site and degree of stricture.

  • Ureteroscopy
  • Open or laparoscopic injury
  • Radiation therapy
  • Urinary diversions
  • Renal transplantation

Ureteric Stricture Treatment

  • Balloon dilation
  • Endoureterotomy
  • Placement of metal ureteral stents
  • Laparoscopic repair / Open surgery

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FAQs

WHAT IS UROLOGY?

Urology is a surgical speciality that addresses male and female diseases of the urinary tract, as well as male reproductive system disorders. Urology is a part of health care that deals with diseases of the male and female urinary tract (kidneys, ureters, bladder and urethra). It also deals with the male organs that are able to make babies (penis, testes, scrotum, prostate, etc.). Since health problems in these body parts can happen to everyone, urologic health is important.

WHAT CAN I DO TO MAINTAIN GOOD UROLOGIC HEALTH ?

The best way to avoid urological problems is to maintain good overall health habits, including exercising regularly, maintaining a healthy weight and avoiding tobacco, excessive alcohol, and caffeine.You should also avoid foods or substances that remove water from the body, known as diuretics.

THERE’S BLOOD IN MY URINE. WHAT MAY BE THE CAUSE?

The presence of blood in the urine could be the result of a minor cause or a serious underlying medical condition. To determine the source, a urologist will perform a thorough evaluation. The blood could be the result of an infection, kidney or bladder stones, cancer of the urinary system, or injury.

IT’S PAINFUL TO URINATE. WHAT COULD BE CAUSING THE PROBLEM?

There are many conditions that could result in painful urination. An infection of the urinary tract or prostate is a common cause, along with obstructions in the urethra, kidney, bladder, or prostate.

Testimonials

My personal experience with Dr. Rajesh Dhake is very good. He was very calm and patient enough to hear my problems and answered all my queries well. He diagnosed the issue well and didn't directly asked for surgery at the first instance. Later also, he didn't suggest for any surgery after getting some more tests done and analyzed. I feel he has very good command on his field and area. I found him to be a Good Doctor.
Sachin Soni
Dr. Dhake sir is very ground to earth person. He not only supports in health also in mediclaim. He is a best urologist. I got his reference from Google and directly contacted him and he suggested laser operation. I got admitted in sanjivani medipont hospital. I had 15mm stone in ureter near to bladder. He shown the stone while doing the operation. He is also opening his own hospital soon. I will recommend him for kidney related issues. Thank you Dhake sir for your on time support.
Mohan Patil
One of the most generous and down to earth doctor I have met in Pune. My dad was diagnosed with a very large renal cyst of 11cm during a new medical insurance mandatory check-up.
There was an obvious panic as it was asymptomatic and my town lacked good uro surgeon. Dr Dhake who had earlier consulted for.my renaal stones was generous enough to reply to my Watsapp msg and calls regarding the cyst and told me not to panic and asked me to Wait for further diagnosis . I flew my dad over to Pune and after detailed diagnosis and analysis suggested us to go for surgery .
The surgery was successful and we are absolutely happy with the further OPDs for.the same.
Rajsekhar Bharali
My family's experience with Dhake Sir was really outstanding. My father was treated & operated by Sir for Urethra Stricture. He consulted-advised-guided us very well. He is very good doctor. My father is well now. Afterwards we went again to Sir for my 4 year old Son's urine infection. He guided us correctly. Circumcision was performed on my son by Sir.
Most important thing, for me, was he was always available on WhatsApp. Whenever we had any worries, we used to ask him on WhatsApp message and he was always replying asap. Thank you very much Sir
Nikhil Lawand
Dr Dhake is an expert and is thorough. He removes the fear by geting the patience every minute detail one would like to understand. He demonstrates the procedures through a video which helps immensely. He would also help you with morale boost and confidence by showing you the extreme cases wherein the fear goes off. Pre and post operation he will handhold all your queries. We highly recommend him.
Dipti Bhambure