Approach to management of retroperitoneal fibrosis (RPF)

RPF: retroperitoneal fibrosis; IgG4: immunoglobulin G4.
* Urinary obstruction can be relieved by:

• Placement of indwelling ureteral stents (preferred procedure)
• Percutaneous nephrostomy
• Open surgical approach

Refer to the UpToDate topic on treatment of retroperitoneal fibrosis for additional details regarding these procedures.
¶ Refer to the UpToDate topic on clinical manifestation and diagnosis of retroperitoneal fibrosis for guidance regarding distinguishing between primary and secondary causes of RPF.