Full-length Ureteral Avulsion Caused by Ureteroscopy: Report of One Case Cured by Pyeloureterostomy, Greater Omentum Investment, and Ureterovesical Anastomosis

Overview

Journal Urolithiasis

Publisher Springer

Specialty Urology

Date 2013 Mar 19

PMID 23503882

Citations 6

Authors

Peng Gao

Jin Zhu

Yibin Zhou

Yuxi Shan

Affiliations

Soon will be listed here.

Abstract

The aim of this report was to look for a good solution to full-length ureteral avulsion. This report retrospectively analyzed the data of the patient. The patient underwent ureteroscopic management. Full-length avulsion of ureter occurred during ureteroscopy. Pyeloureterostomy plus greater omentum investment outside the avulsed ureter and ureterovesical anastomosis were performed immediately. The patient was followed-up 25 months. After the first operation, the patient developed hydronephrosis because of press of fibrosis tissue outside ureter and anastomotic atresia of ureter-bladder. When we finished the second operation, the renal function recovered well. Full-length avulsion of ureter is a severe complication. Pyeloureterostomy plus greater omentum investment outside the avulsed ureter and ureterovesical anastomosis are probably a good choice.

Citing Articles

Ileal ureteral replacement for the management of ureteral avulsion during ureteroscopic lithotripsy: a case series.

Yuan C, Li Z, Wang J, Zhang P, Meng C, Li D BMC Surg. 2022; 22(1):262.

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Immediate ileal ureter replacement for ureteral avulsion during ureterescopy.

Ragonese M, Foschi N, Pinto F, Di Gianfrancesco L, Bassi P, Racioppi M IJU Case Rep. 2020; 3(6):241-243.

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Ureteral Avulsion during Semirigid Ureteroscopy: A Single-Centre Experience.

Bhaskarapprakash A, Karri L, Velmurugan P, Venkatramanan S, Natarajan K Surg Res Pract. 2020; 2020:3198689.

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Management of full-length complete ureteral avulsion.

Tang K, Sun F, Tian Y, Zhao Y Int Braz J Urol. 2016; 42(1):160-4.

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Possible complications of ureteroscopy in modern endourological era: two-point or "scabbard" avulsion.

Gaizauskas A, Markevicius M, Gaizauskas S, Zelvys A Case Rep Urol. 2015; 2014:308093.

PMID: 25610699 PMC: 4291154. DOI: 10.1155/2014/308093.

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