Ureteral Stricture: Causes and Treatment

Q: What causes ureteral stricture?

Ureteral stricture can result from malignancy (urinary tract or cervical cancer), ureteral stones, radiation therapy, surgical trauma, periureteral fibrosis from endometriosis or aortic aneurysm, endoscopic surgery, renal ablation injury, tuberculosis infection, or unknown causes. Careful history, physical examination, and imaging are essential for diagnosis.

Q: How is ureteral stricture treated?

Treatment depends on the root cause, symptoms, and kidney function. Options range from observation and monitoring to endoscopic procedures or surgical reconstruction. The guiding principle is to minimize harm while preserving kidney function and quality of life.

Q: What are the two most important questions when evaluating ureteral stricture?

The two key questions are: (1) Can we preserve kidney function? and (2) Is there any underlying malignancy? These guide the urgency and type of treatment required.

最后更新： 2026年5月18日

Soarawee Weerasopone，泌尿科医生

曼谷医院总部，曼谷

Samitivej Sriracha 医院, 春武里府

LINE联络

输尿管狭窄是困扰我泌尿外科诊所的一种疾病。大多数患者是由于各种病因从其他诊所转来的，有些有症状，有些则没有。在与患者讨论根本原因和治疗方案之前，这种情况需要仔细询问病史和体格检查以及适当的影像学检查。今天我们就来聊聊这个问题，输尿管狭窄。

曼谷医院泌尿外科中心泰国在线预订 02-310-3009 bhquro@bdms.co.th
春武里府斯里拉查（Samitivej Sriracha）医院 088-022-1445

输尿管狭窄的原因

我们首先要弄清楚的是，有无腹腔内癌病史？

恶性肿瘤——尿路癌或宫颈癌
输尿管结石的存在或病史
辐射史
手术切除引起的局部缺血或外伤
腹主动脉瘤或子宫内膜异位症引起的输尿管周围纤维化
内窥镜手术史
肾消融损伤
感染——肺结核
未知条件

肾结石或输尿管结石病史是必不可少的病史

处理输尿管狭窄时必须牢记的2个基本问题。

能保住肾功能吗？
是否存在与恶性肿瘤相关的问题？

做出初步诊断后，我们将选择适当的调查来澄清我们的假设。从观察、内窥镜手术到手术探查，治疗方案会有所不同，具体取决于以下因素

在我们收集所有需要的信息后，我们必须与患者讨论为个人量身定制的治疗方案。

根本原因是什么？
有症状吗？
输尿管狭窄是否有肾功能障碍？

不幸的是，输尿管狭窄疾病大多数被认为是终身问题，因此治疗原则将尽可能不伤害患者并保持他们的生活质量。请与您信任的泌尿科医生交谈，或者您可以给我留言。

你可以访问我的官方主页这里.

Frequently Asked Questions About Ureteral Stricture

What causes ureteral stricture?

Ureteral stricture can result from many causes including malignancy (urinary tract or cervical cancer), history of ureteral stones, prior radiation therapy, surgical trauma or ischemia, periureteral fibrosis from conditions like endometriosis or aortic aneurysm, history of endoscopic surgery, renal ablation injury, infections such as tuberculosis, or in some cases no identifiable cause. A thorough history, physical examination, and imaging workup are essential to identify the underlying cause.

How is ureteral stricture treated?

Treatment depends on the root cause, whether the patient is symptomatic, and whether kidney function is affected. Options range from observation and monitoring, to minimally invasive endoscopic procedures, to open or robotic surgical reconstruction. Since ureteral stricture is often a lifelong condition, the guiding principle is to minimize harm while preserving kidney function and maintaining the patient’s quality of life.

What are the two most important questions when evaluating ureteral stricture?

The two key clinical questions are: (1) Can we preserve kidney function? and (2) Is there any underlying malignancy? These two questions guide the urgency and nature of intervention. If kidney function is at risk or malignancy is suspected, more aggressive evaluation and treatment planning is required.

If you have been diagnosed with or suspected of having ureteral stricture, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters. 预约咨询.

**免责声明：** 本内容由曼谷医院总院的认证泌尿科医生 Soarawee Weerasopone 医生撰写和审阅。本内容仅用于教育目的，不构成医疗建议。在开始任何医疗治疗前，请务必咨询合格的医疗专业人士。.