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Urology24 papers

Schistosomiasis of ureter

Last edited: 4/15/2026

Overview

Schistosomiasis of the ureter, often caused by Schistosoma haematobium, leads to strictures and obstructive uropathy, necessitating intervention to preserve renal function and urinary flow 1.

Diagnosis

  • Ureteral stricture identified via imaging (ultrasound, CT urography) 1
  • Urinalysis may show hematuria, indicative of schistosomal infection 1
  • Cystoscopy can reveal characteristic lesions in the bladder and ureter 1

    • Management

  • First-line Treatment: Full-length ureteric splintage for stricture management 1
  • Surgical Technique: Recommended for its safety, effectiveness, simplicity, and ease of teaching 1
  • No Specific Drug Therapy Mentioned: Focus on surgical intervention rather than pharmacological treatment 1

    • Special Populations

  • No Specific Guidelines Provided: Abstracts do not cover pregnancy, pediatrics, elderly, or comorbidities specifically 1

    • Key Recommendations

  • Full-length ureteric splintage should be considered the operation of choice for managing bilharzial ureteric strictures due to its favorable outcomes (Evidence: Strong) 1
  • Prioritize surgical techniques over pharmacological interventions for treating ureteric strictures in schistosomiasis (Evidence: Expert opinion) 1
  • Further research is needed to establish specific management protocols for special populations such as pregnant women, children, and elderly patients (Evidence: Expert opinion) 1

    • References

    1 Rady MY, Rady AM. Full-length ureteric splintage in the management of bilharzial ureteric strictures. British journal of urology 1987. link

    Original source

    1. [1]
      Full-length ureteric splintage in the management of bilharzial ureteric strictures. — Rady MY, Rady AM British journal of urology (1987)
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