Treatment varies depending on the severity and location of the fibrosis. If you’re diagnosed in the early stages of the condition, you may be prescribed anti-inflammatory medications, corticosteroids, or immunosuppressants.
If you’re diagnosed after fibrosis has blocked one or both of your ureters, your doctor will need to clear the obstruction.
This is done by draining the urine with a stent, or drainage tube, inserted through your back and into your kidney. A stent may also be run from your bladder through the ureter into the kidney.
In some cases, surgery may be required. It may be used to:
- free the affected ureter from the fibrosis
- wrap the affected ureter in fat tissue from the intestines to protect it from fibrosis regrowth
- reposition the affected ureter away from the inflammation to prevent the blockage from happening again
The goals of treatment are to remove the blockage, repair the affected ureter, and prevent it from happening again. For many people, treatment requires both medication and internal intervention.