Retroperitoneal Fibrosis: Diagnosis and Management with Urological Intervention

Diagnosis and Management

• Ureteral stenting or nephrostomy may be necessary for acute management of obstructive uropathy, as part of the management of retroperitoneal fibrosis, particularly in patients with ureteral obstruction causing hydronephrosis and renal failure, with a multidisciplinary team approach 1

Medical Therapy and Intervention

• The American Urological Association recommends ureteral stenting or nephrostomy as a treatment option for patients with retroperitoneal fibrosis and obstructive uropathy, with the goal of relieving obstruction and preventing further renal damage, based on evidence from studies such as those published in Blood in 2014 1