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.
This is a preview of subscription content, log in via an institution to check access.
References
Argyropoulos AN, Tolley DA (2010) SWL is more cost-effective than ureteroscopy and Holmium:YAG laser lithotripsy for ureteric stones: a comparative analysis for a tertiary referral centre. British J Med Surg Urol 3(2):65–71
Stamatelou KK et al (2003) Time trends in reported prevalence of kidney stones in the United States: 1976–1994. Kidney Int 63(5):1817–1823
Preminger GM et al (2007) 2007 guideline for the management of ureteral calculi. J Urol 178(6):2418–2434
Turney BW et al (2012) Trends in urological stone disease. BJU Int 109(7):1082–1087
Zeng GQ et al (2002) Extracorporeal shock-wave versus pneumatic ureteroscopic lithotripsy in treatment of lower ureteral calculi. Asian J Androl 4(4):303–305
Verze P et al (2010) Extracorporeal shockwave lithotripsy vs ureteroscopy as first-line therapy for patients with single, distal ureteric stones: a prospective randomized study. BJU Int 106(11):1748–1752
Lee YH et al (2006) Prospective randomized trial comparing shock wave lithotripsy and ureteroscopic lithotripsy for management of large upper third ureteral stones. Urology 67(3):480–484 discussion 484
Salem HK (2009) A prospective randomized study comparing shock wave lithotripsy and semirigid ureteroscopy for the management of proximal ureteral calculi. Urology 74(6):1216–1221
Geavlete P et al (2006) Complications of 2735 retrograde semirigid ureteroscopy procedures: a single-center experience. J Endourol 20(3):179–185
Elashry OM et al (2008) Ureteroscopic management of lower ureteric calculi: a 15-year single-centre experience. BJU Int 102(8):1010–1017
Pedro RN et al (2007) In vitro evaluation of ureteral perforation forces. Urology 70(3):592–594 discussion 594–5
Krambeck AE et al (2006) The evolution of ureteroscopy: a modern single-institution series. Mayo Clin Proc 81(4):468–473
Al-Awadi K et al (2005) Iatrogenic ureteric injuries: incidence, aetiological factors and the effect of early management on subsequent outcome. Int Urol Nephrol 37(2):235–241
Ordon M, Schuler TD, Honey RJ (2011) Ureteral avulsion during contemporary ureteroscopic stone management: “the scabbard avulsion”. J Endourol 25(8):1259–1262
Ge C et al (2011) Management of complete ureteral avulsion and literature review: a report on four cases. J Endourol 25(2):323–326
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Gao, P., Zhu, J., Zhou, Y. et al. Full-length ureteral avulsion caused by ureteroscopy: report of one case cured by pyeloureterostomy, greater omentum investment, and ureterovesical anastomosis. Urolithiasis 41, 183–186 (2013). https://doi.org/10.1007/s00240-012-0541-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00240-012-0541-8