The ureter in my right kidney has been growing for several years. What are safe and painless methods of unblocking such a ureter?

The progression of ureteral dilatation may be due to anatomical vesical stenosis of the ureter, obstruction of the ureter with deposits, a proliferative process around the ureter or in the ureter itself. Usually, these processes are accompanied by symptoms of varying severity: pain, haematuria. This type of narrowing of the paramic ureter is subject to surgical treatment, i.e. surgery. Slow increase in the diameter of the ureter without symptoms, visible only in ultrasound, may arise as a result of functional disorders, most often related to the abnormal function of the lower urinary tract (bladder and urethra), such as irregular emptying of the bladder, obstruction in the urethra (prostate hypertrophy), etc. USG is a screening test that allows easy diagnosis and monitoring of the progression of ureteral dilatation. It should be combined with dynamic kidney scintigraphy, an examination thanks to which we will obtain information about the degree of kidney damage on the side of the dilated ureter and about emptying the calico-pelvic system and ureter after a diuretic stimulus.

Remember that our expert's answer is informative and will not replace a visit to the doctor.

Lidia Skobejko-Włodarska

Specialist in pediatric urology and surgery. She obtained the title of European specialist in pediatric urology - fellow of the European Academy for Pediatric Urology (FEAPU). For many years he has been dealing with the treatment of bladder and urethral dysfunction, especially neurogenic vesico-urethral dysfunction (neurogenic bladder) in children, adolescents and young adults, using for this purpose not only pharmacological and conservative but also surgical methods. She was the first in Poland to start large-scale urodynamic tests, allowing to determine the function of the bladder in children. He is the author of many works on bladder dysfunction and urinary incontinence.

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