Update on minimally invasive management of ureteral strictures.

PURPOSE: To review the role of minimally invasive management in ureteral stricture disease.

MATERIALS AND METHODS: A literature search was performed on the MEDLINE database through 2002 concerning endoscopic treatment of patients with ureteral strictures.

RESULTS: Many endourologic methods are available for ureteral strictures. Ureteral dilation may be accomplished in most cases, with various rates of success depending on stricture etiology, location, and length. Endoureterotomy also leads to long-term patency in properly selected cases and appears to be superior to dilation alone.

CONCLUSIONS: Significant advances in technique and technology have improved our ability to treat ureteral strictures without the need for open surgery in most patients.