Steroids in the Treatment of Retroperitoneal Fibrosis

Abstract

Cases [2] of retroperitoneal fibrosis with asynchronous bilateral hydronephrosis are reported. One case was managed initially by unilateral ureterolysis. Subsequent contralateral disease was treated with a 6-wk course of oral steroids alone with resolution of the bilateral hydronephrosis for 10 yr. The other case was treated with unilateral renal exploration. Subsequent contralateral disease for and ipsilateral disease was treated similarly with steroids and 7 mo. later there was resolution of bilateral hydronephrosis.