There are a variety of minimally invasive treatments for patients with ureteral strictures. A doctor may perform balloon dilation as a first step in treatment, particularly in patients who have nonanastomotic strictures.
For ureteral strictures that do not respond favorably to dilation alone, endoscopic incision is the procedure of choice for most patients. Endoscopic incision of the stricture can be performed or a laser may be used with a rigid or flexible ureteroscope. A stent may be left in place to keep the ducts open for approximately 6 weeks.
New technique called Holmium Laser Endoureterotomy is now available that may allow long-term relief from ureteral stricture if other techniques are unsuccessful.