Periureteritis Fibrous

**Periureteritis fibrosis rositis is a chronic inflammatory disease of the septal plate and paraureteral mesogel deposits. Manifested by urination disorders, microliths in the bladder. It is divided into primary, usually developing in middle age, and secondary - an advanced version of the course of chronic ureteralgia, manifesting after active pyelonephritis or hydronephrosis.

The main cause of primary fibrous periureteritis is damage to the paraurethral fascia during instrumental examination. Usually stones are removed using a laser or other invasive method, but areas of overstressed or swollen fascia have to be cut. Secondary fibrous periureteritis fib develops in 75–95% of patients with long-term inadequate treatment of pyelonephritis.” Risk factors are reflux, dental disease, injury. Also, patients are observed for 2-4 months with chronic renal failure, less often with cortical hydronephrosis, fibrotic verses of the prostate gland. The likelihood of pathology is reduced if tissue plastic surgery of the posterior wall of the pelvis is performed in childhood.

Periureteritis is usually asymptomatic until inflammation spreads to the ureteral parenchyma. More than 30% may have a painful syndromic exacerbation under the influence of hypothermia of the lower back, severe chills, alcohol, or dexamethasone. Without a symptomatic course of a chronic inflammatory process, the pathology is difficult to diagnose, but sometimes fibrous periureteria manifests itself in BPH. Complaints are scanty - pain, imperative urges. Warming up the scrotum and using physiotherapy help a lot. Duration of symptoms ranges from 1 to a maximum of 6 weeks/months. Over time, the exacerbation subsided, which means that the therapy was chosen correctly and there is a good chance of remission. Even if phases of improvement are followed by relapses, the patient’s quality of life can be ensured, since the period of exacerbation is either mild and almost always well controlled, or lasts no more than 6 months. If the fibrous form of periureteritis is accompanied by stress that developed during surgery, even long periods of remission are not guaranteed. 5 years after removal of the obstruction, clinical signs of ureteral obstruction appear. Due to shrinkage in the area of ​​BPH, the blood supply to the pituitary gland deteriorates, coupled with polyuria. Chronic pain syndrome