Abstract
We thank you for your insightful comments. In patients with recent instrumentation of a ureteral stricture and/or the presence of hardware across a ureteral stricture, our preference is to initiate a period of rest after placing a percutaneous nephrostomy tube. This practice is based on our hypothesis that rest allows for uninterrupted progression through the stages of wound healing and stricture stabilization, while the presence of hardware acrossa stricture impedes wound healing by perpetuating the inflammatory phase of wound healing.
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