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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Pain In The Left Abdomen, Uteric Strincture Found, Advised Open Surgery And Inserting Stent. Any Alternative?

Hi Doctor, Two Days Back i feel sever Pain in left kidney side & fater diagnosis (IVP) there is lower uretric Strincture found & doctor advise me to its only & best way to this is Open surgery & cut instructure & rejoint utrus & fix D J stent . After 6 week of surgery DJ Stent will be remove. I need your feed back thats its only way or any other treatment available instead of open surgery. regards Yougendra
Mon, 13 Aug 2012
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Urologist,  's  Response
hi yogendra, usually stricture of ureter occurs after prior surgery (for stone), prior stone passage or rarely due to tuberculosis of kidney and ureter. often times, stricture seen on ivp may turn out to be small ureteric stone causing obstruction and narrowing. before going for open surgery, a urologist can do an endoscopy and push a dye into the ureter to confirm. if there is a stone, it can be removed. if there is complete block, it will need open surgical repair and re-implantation of ureter into bladder. if partial block, an attempt at dilatation and DJ stenting can be made. results of open surgery for this stricture are better than endoscopic dilatation in most cases. good luck.
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Severe Pain In The Left Abdomen, Uteric Strincture Found, Advised Open Surgery And Inserting Stent. Any Alternative?

hi yogendra, usually stricture of ureter occurs after prior surgery (for stone), prior stone passage or rarely due to tuberculosis of kidney and ureter. often times, stricture seen on ivp may turn out to be small ureteric stone causing obstruction and narrowing. before going for open surgery, a urologist can do an endoscopy and push a dye into the ureter to confirm. if there is a stone, it can be removed. if there is complete block, it will need open surgical repair and re-implantation of ureter into bladder. if partial block, an attempt at dilatation and DJ stenting can be made. results of open surgery for this stricture are better than endoscopic dilatation in most cases. good luck.