A review of the recent literature shows that cicatricial changes in the wall of the ureter have assumed greater clinical significance than was formerly recognized. Hunner1 deserves much credit for bringing out this point, although not all of his observations are generally accepted. In the mass of data that have been advanced by various observers, there has been much variation, and many claims have been made concerning the results of clinical treatment that have not been borne out by pathologic examination or clinical experience. An attempt should be made to analyze these data and to evaluate, if possible, the clinical methods employed in the investigation of these cicatricial lesions.
Before the clinical aspects of stricture of the ureter are considered it might be advisable to discuss briefly the various types of stricture and the pathologic changes involved. No doubt all are agreed that a stricture may be defined