Retroperitoneal Fibrosis
l Most commonly idiopathic
l Other causes: aortic hemorrhage, aortitis,
methysergide toxicity, prior surgery or
XRT, collagen vascular disease (Riedel’s
thyroiditis, sclerosing mediastinitis)
l Clinical: 40-60 yrs, males>females
l Hydronephrosis, ureteral narrowing, slight
medial ureteral displacement