The urologists at Hackensack University Medical Center are world-renowned in the treatment of ureteral stricture, a condition characterized by the narrowing of the tube that carries urine from the kidneys to the bladder. We treat the most common type of ureteral stricture, known as ureteropelvic junction (UPJ) obstruction, and more complex ureteral strictures, including proximal and mid-ureteral strictures.
For over a decade our surgeons have used robotic surgery to treat ureteral stricture. They are pioneers in developing innovative robotic surgical techniques, including:
A specialized procedure for extensive stricture that uses tissue from another part of the body, such as the inside of the mouth, to reconstruct the ureter
The use of enhanced imaging techniques during surgery to make sure there is healthy tissue being reconnected
Ureterolysis, a procedure to remove a mass of tissue or scar tissue that is pressing on one or both ureters known as retroperitoneal fibrosis
Ureterocalicostomy, a procedure that removes the obstructed section of the ureter and reattaches the ureter to the bottom of the kidney
Diagnosis of Ureteral Stricture
Ureteral stricture can be caused by kidney stones, fibrosis, or scarring after surgery or radiation. It may also be congenital, or present since birth. Your treatment plan will be determined by the location, extent and cause of your stricture.
Your doctor will perform a thorough medical exam and may recommend diagnostic tests such as an ultrasound, CT scan, MRI, renal scan or a retrograde ureteroscopy (used to see if there is a blockage in your urinary tract). These tests help identify the cause and extent of your condition. Your doctor uses the results to determine the best approach to your treatment.
Surgical Approaches for Ureteral Stricture in Adults
At HackensackUMC, more than 90 percent of procedures to correct ureteral strictures are performed robotically. This approach often results in less bleeding, less scarring and a lower infection rate than conventional surgery. It can also lead to a shorter recovery time in the hospital.