My husband was diagnosed with Stage IV pancreatic cancer with metastasis to the liver and peritoneum. He is 67 but is in really good physical condition due to working construction his entire life. He is getting ready for his 12th treatment of Folfirinox next week and is still doing fairly well considering the severity of the disease and degree of spread. His tumor is in the tail of the pancreas. We did go to MD Anderson for a second opinion but they couldn't offer any different treatment than we are receiving in Kansas City. He still works construction except for the days he is on the 5fu pump (we own the company so his schedule if flexible). Outside of fatigue with anemia, which is chemo related I assume, and some bowel issues a few days per month he feels fairly good. His last scan yesterday does show "stable widespread metastatic disease" but also a new condition has arose. This is copied and pasted from the actual report in his mychart. We do not get to speak to the oncologist for another week, although I do expect them to call since there is another "procedure" needed, but I am unclear as to what this new situation means. Does anyone have any experience or knowledge of the following condition?

"2. Development of moderate right hydroureteronephrosis with abrupt transition of the dilated right ureter at the level of the false pelvis likely owing to distal ureteral obstruction from peritoneal metastatic disease. Consideration should be given to placement of a percutaneous nephrostomy or ureteral stent to preserve renal function."

Thank you for any help with this and prayers for all of us dealing with this evil disease currently and in the past!