Ureteritis

The most common causes of ureteritis are:

- Urinary tract infections (UTIs): Bacterial infections that begin in the bladder (e.g., cystitis) can spread to the ureters and cause inflammation. An ascending infection from the kidneys (e.g., pyelonephritis) can also affect the ureters.

- Kidney stones (Nephrolithiasis): Stones in the urinary tract, especially in the kidneys or ureters, can irritate the walls of the ureters and lead to inflammation.

- Medical procedures: Procedures such as the insertion of urinary catheters or the use of instruments during a ureteroscopy can cause irritation and inflammation of the ureters.

- Pain in the side or lower back area

- Burning or pain during urination

- Frequent urination or a strong urge to urinate

- Blood in the urine (hematuria)

- Fever and general discomfort in bacterial infections

The diagnosis begins with a medical history and physical examination, during which the doctor asks about typical symptoms such as pain, fever, or discomfort during urination. A urinalysis is performed to detect the presence of bacteria, blood, or other abnormalities that indicate inflammation of the urinary tract. Imaging techniques such as ultrasound, X-rays, or CT scans may be necessary to determine the extent of the inflammation or to check for the presence of kidney stones or other blockages in the ureters. In some cases, further examination, such as ureteroscopy, may be performed to directly inspect the ureter and identify any causes of the inflammation.

• Antibiotics: In cases of bacterial infections, antibiotics are prescribed to combat the infection.
• Pain relief: Painkillers or anti-inflammatory medications can help alleviate the symptoms.
• Stone treatment: If kidney stones are the cause of the inflammation, treatment to remove or break down the stones may be necessary (e.g., shock wave lithotripsy).
• Hydration: Drinking enough helps flush the urinary tract and support healing.

To reduce the risk of a ureteral infection, urinary tract infections should be treated early. Additionally, adequate fluid intake can help prevent kidney stones and urinary tract infections. In the case of recurrent infections, a medical examination should be conducted to clarify underlying causes.