Ureteric Stricture Disease: Difference between revisions

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==Diagnosis and Evaluation==

*'''~~The renal unit should be assessed for function before starting treatment because endourologic therapies require 25% function of the ipsilateral moiety to have reasonable success rates~~''' ~~(Figure 49-34 suggests 20%)~~

*'''~~The presence~~ of obstruction on CT can identify ureteral stricture disease~~, but antegrade~~ or retrograde pyelogram, CT urography, or diagnostic ureteroscopy is necessary to define the location and length of the ureteral stricture'''

=== History and Physical Exam ===

* History

** Signs and Symptoms

*** Flank pain

=== Labs ===

* '''Serum creatinine'''

**Assess of baseline renal function

=== Imaging ===

*'''Contrast-enhanced axial imaging'''

**'''Findings'''

***'''Presence of obstruction on CT can identify ureteral stricture disease'''

**'''Antegrade or retrograde pyelogram, CT urography, or diagnostic ureteroscopy is necessary to define the location and length of the ureteral stricture'''

*'''Nuclear imaging'''

**'''Differential function of the renal unit should be assessed before starting treatment'''

***'''Endourologic therapies require 25% function of the ipsilateral moiety to have reasonable success rates''' (Figure 49-34 suggests 20%)

=== Other ===

* '''Diagnostic ureteroscopy +/- biopsy'''

==Management==

@@ Line 40: / Line 40: @@
 ==Diagnosis and Evaluation==
-*'''<span style="color:#ff0000">The renal unit should be assessed for function before starting treatment because endourologic therapies require 25% function of the ipsilateral moiety to have reasonable success rates</span>''' (Figure 49-34 suggests 20%)
-*'''<span style="color:#ff0000">The presence of obstruction on CT can identify ureteral stricture disease, but antegrade or retrograde pyelogram, CT urography, or diagnostic ureteroscopy is necessary to define the location and length of the ureteral stricture</span>'''
+=== History and Physical Exam ===
+* History
+** Signs and Symptoms
+*** Flank pain
+=== Labs ===
+* '''Serum creatinine'''
+**Assess of baseline renal function
+=== Imaging ===
+*'''Contrast-enhanced axial imaging'''
+**'''<span style="color:#ff0000">Findings</span>'''
+***'''<span style="color:#ff0000">Presence of obstruction on CT can identify ureteral stricture disease</span>'''
+**'''<span style="color:#ff0000">Antegrade or retrograde pyelogram, CT urography, or diagnostic ureteroscopy is necessary to define the location and length of the ureteral stricture</span>'''
+*'''<span style="color:#ff0000">Nuclear imaging</span>'''
+**'''<span style="color:#ff0000">Differential function of the renal unit should be assessed before starting treatment</span>'''
+***'''<span style="color:#ff0000">Endourologic therapies require 25% function of the ipsilateral moiety to have reasonable success rates</span>''' (Figure 49-34 suggests 20%)
+=== Other ===
+* '''Diagnostic ureteroscopy +/- biopsy'''
 ==Management==