Retroperitoneal fibrosis is a rare disease in which dominantly inflammatory mass envelops and potentially obstructs retroperitoneal structures including ureters. The initial management of retroperitoneal fibrosis depends on the patient's clinical status. About an emergent condition of a patient, we must have a initial management like resolution of ureteral obstruction. Recently, after initial management, the medical therapy in patient with retroperitoneal fibrosis is prefered to the surgical therapy. In this case, we report a female patient who underwent successful treatment of a retroperitoneal fibrosis with combined corticosteroid and tamoxifen.