[Long-term results of therapy in patients with retroperitoneal fibrosis]

In 1972-1991 at the urological clinic in Hradec Králové 13 patients with retroperitoneal fibrosis were treated. In six idiopathic fibrosis, primary fibrosis (morbus Ormond) was involved. By surgery only one patient with the primary disease was treated, five patients with secondary fibrosis only conservatively (by nephrostomy, by introduction of an ureteral endoprosthesis and prednisone administration 1200-1500 mg in total). Seven patients, incl. five with primary fibrosis, had combined treatment, an open operation with subsequent administration of prednisone. All remained under dispensary care of the clinic. During check-up examinations renal function and congestion in the urinary pathways was examined. In morbus Ormond treatment was successful in 83% of the patients (one patient died from myocardial infarction on the fifth day after operation); in patients with the secondary disease treatment was successful in 60%.