Retroperitoneal Fibrosis (Rpf)

Retroperitoneal fibrosis (posterior abdominal fibrosis) is a rare disease characterized by the formation of dense fibrous plaques behind the abdominal aorta that surround the ureter. This leads to compression of the ureter and the development of acute renal failure in the patient. Treatment may include nephrostomy or ureteral stenting, as well as steroids for acute fibrosis. In chronic fibrosis, ureterolysis may be necessary to remove fibrotic plaques.

Retroperitoneal Fibrosis (RPF)

Retroperitoneal fibrosis (RPF) is a rare disease that is characterized by the formation of dense fibrous plaques behind the peritoneum in the area where it abuts the abdominal aorta. These plaques surround the ureters, causing compression and can cause acute anuria (lack of urination) and kidney failure.

The causes of fibrosis of the retroperitoneal region are not completely clear. Some studies suggest that it may be due to immunological disorders, chronic inflammatory conditions or genetic factors. However, the exact mechanisms of disease development require further study.

The main symptom of retroperitoneal fibrosis is pain in the lower back or abdomen. Patients may also experience symptoms related to ureteral compression, such as frequent urination, painful urination, or failure to urinate. In some cases, swelling of the legs may occur and urine may be pushed back into the kidneys, which can lead to kidney failure.

Various examinations can be used to diagnose retroperitoneal fibrosis, including computed tomography (CT), magnetic resonance imaging (MRI), ultrasound, and urography. A biopsy of fibrous plaques may also be performed to confirm the diagnosis.

Treatment of retroperitoneal fibrosis depends on the degree of ureteral compression and the presence of renal failure. In cases of acute anuria and renal failure, urgent intervention may be required. One method of relieving the obstruction is to perform a nephrostomy, a surgical procedure that creates an opening in the kidney to remove urine.

Another treatment involves inserting double-J stents. These stents help maintain patency of the ureters, making urination easier. In some cases, surgery such as ureterolysis may be required to relieve the obstruction.

Chronic fibrosis of the retroperitoneal area may require long-term treatment. In such cases, steroid hormones may be prescribed to reduce inflammation and relieve symptoms. Regular observation and monitoring by a doctor is also important to assess the effectiveness of treatment and prevent complications.

Although retroperitoneal fibrosis is a rare disease, early detection and timely treatment can significantly improve a patient's prognosis. Therefore, it is important to see a doctor if you experience unexplained pain in your lower back or abdomen, or if your urination pattern changes.

In conclusion, retroperitoneal fibrosis is a rare disease that is characterized by the formation of dense fibrous plaques posterior to the peritoneum. It can lead to compression of the ureters and the development of acute anuria and renal failure. Diagnosis is based on various examination methods, and treatment may include surgery, nephrostomy, stents, or steroid hormones. Early consultation with a doctor and timely treatment play an important role in improving the patient's prognosis.

Retroperitoneal fibrosis is a rare chronic disease characterized by the formation of dense fibroinflammatory plaques on the posterior surface of the peritoneum. The pathology manifests itself in the form of acute anurria and renal vascular failure, which are caused by compression of the bladder and ureter by fibrous plaques. To reduce ureteral obstruction, nephrostips are often used. Mostly retroperitoneal fibrosis develops in men over 40 years of age. As a rule, only in some patients with abdominal injuries, especially if they were associated with damage to abdominal organs, in which signs of retrolariofibrosis were noticed. However, there are also cases of retroperigoneal fibroblastic obliteration, which is causally related to various medical, surgical and household risk factors associated with work, health conditions and injuries. By