A ureteric stricture is a condition where the ureter—the tube carrying urine from the kidney to the bladder—becomes narrowed due to scarring or injury. This narrowing blocks urine flow, leading to pain, infections, swelling of the kidney (hydronephrosis), and long-term kidney damage if untreated.
Under the expert care of Dr. Ajinkya Kasekar, ureteric strictures are diagnosed accurately and treated using advanced endoscopic, laparoscopic, and reconstructive techniques for long-lasting relief.

What Causes a Ureteric Stricture?

Common causes include:

• Previous stone surgeries (URS, RIRS, PCNL)

• Impacted ureteric stones

• Infections

• Trauma or injury

• Radiation therapy

• Congenital abnormalities

• Tumors or external compression

• Scar tissue formation from prior procedures

Sometimes, the cause may remain unknown.

Symptoms of Ureteric Stricture

• Persistent flank or abdominal pain

• Recurrent urinary tract infections

• Difficulty or pain while passing urine

• Blood in urine

• Fever or chills (if infection is present)

• Hydronephrosis on ultrasound

• Decline in kidney function

Diagnosis

To confirm the stricture and assess its severity, Dr. Ajinkya Kasekar may advise:

• Ultrasound

• CT scan

• MR urography

• Diuretic renogram (to assess kidney function & drainage)

• Retrograde pyelography (RGP)

• Ureteroscopy (as needed)

Accurate diagnosis is crucial to selecting the right treatment.

Treatment Options for Ureteric Stricture

Treatment depends on the location, length, severity of narrowing, and kidney function.
Dr. Ajinkya Kasekar offers all modern options:

1. Endoscopic Treatment

Balloon Dilatation

A balloon is inserted and inflated to widen the narrowed segment.
Useful for short, early strictures.

Endoscopic Incision (Endoureterotomy)

A laser or cold knife is used to cut open the stricture internally.
A DJ stent is kept for healing.

2. DJ Stent Placement

Relieves obstruction and improves urine flow temporarily.
Used for initial management, infection control, or mild strictures.

3. Laparoscopic / Robotic Ureteric Reconstruction

For long, recurrent, or complex strictures.

Options include:

Ureteral Reimplantation

Reattaching the ureter to the bladder.

Ureteroureterostomy

Removing the diseased segment and joining healthy ends.

Psoas Hitch / Boari Flap

Used when a long portion of the lower ureter needs reconstruction.

These techniques provide long-term cure and excellent functional results.

4. Open Reconstructive Surgery

Used in rare complex cases where minimally invasive methods are not feasible.

Benefits of Timely Treatment

• Relieves pain

• Prevents recurrent infections

• Protects kidney function

• Improves urinary drainage

• Prevents long-term kidney damage

Recovery After Ureteric Stricture Treatment

Most patients:

• Stay in the hospital for 1–3 days (depending on procedure)

• Return to routine activities in 1–2 weeks for minimally invasive surgeries

• Require DJ stent removal after 4–6 weeks

• Undergo follow-up imaging to confirm proper healing

Why Choose Dr. Ajinkya Kasekar?

• Expertise in complex ureteric reconstructive surgeries

• Advanced laser and laparoscopic techniques

• High success rates with minimal complications

• Detailed evaluation and customized treatment plan

• Patient-first, compassionate care

• Strong experience with both simple and challenging stricture cases

Book a Consultation

If you are experiencing symptoms of ureteric obstruction or have been diagnosed with a ureteric stricture, early treatment is essential to protect your kidney.
Consult Dr. Ajinkya Kasekar for accurate diagnosis and advanced ureteric stricture management.