Not all presentations of idiopathic retroperitoneal fibrosis carry the same management implications. When ureteral obstruction is absent, this specific clinical scenario is governed by a distinct evidence-based approach that departs from obstructive disease.
This protocol applies to idiopathic retroperitoneal fibrosis without associated ureteral obstruction. Evidence indicates that this presentation requires neither medical nor urological intervention — a distinction critical to avoiding unnecessary treatment. The full structured protocol defines the appropriate management pathway for this scenario.
DOI: 10.1111/iju.14218