Treatment of full-length ureteral avulsion due to ureteroscopy : Two case reports and a review of the literature
4 affiliations
- 1Department of Urology, Gansu Provincial Hospital, Lanzhou, Gansu, China
- 2First Clinical Medical College, Gansu University of Chinese Medicine, Lanzhou, Gansu, China
- 3Department of Urology, Peking University First Hospital, Beijing, China
- 4The First Hospital of Lanzhou University, Lanzhou, Gansu, China.
Abstract
Rationale:: Full-length ureteral avulsion is one of the most severe complications of ureteroscopy. Although this condition is extremely rare, the absence of standardized treatment protocols poses significant challenges for urologists in clinical management.
Patient concerns:: In case A, the subject is a 48-year-old male, and in case B, the subject is a 63-year-old female. Both patients had full-length ureteral avulsion during ureteroscopic lithotripsy. Case B underwent emergent primary repair involving pyeloureterostomy, ureteroneocystostomy, and omental wrapping; however, the procedure failed to achieve satisfactory functional recovery, resulting in persistent obstruction.
Diagnoses:: Based on clinical history and imaging findings, case A was diagnosed with full-length ureteral avulsion, and case B presented with ureteral stricture following primary in situ repair of full-length ureteral avulsion.
Intervention:: Both patients were transferred to our center for upper urinary tract reconstruction 5 months after the original injury. Following bowel preparation, they underwent totally intracorporeal robot-assisted ileal ureter replacement.
Outcomes:: Both patients demonstrated stable total renal function and adequate drainage from the reconstructed renal units postoperatively.
Lessons:: The totally intracorporeal robot-assisted ileal ureter replacement represents a safe and effective treatment in managing full-length avulsion injuries of the ureter. Lifelong follow-up remains essential after reconstructive surgery and should include surveillance for obstruction, infection, metabolic complications, and renal deterioration. Preventive measures need to maintain paramount importance in clinical practice to avert such severe iatrogenic complications.
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BibTeX
@article{feng2026treatment,
title = {{Treatment of full-length ureteral avulsion due to ureteroscopy : Two case reports and a review of the literature}},
author = {Bin Feng and Xiaopeng Wu and Yilin Yuan and Yongtao He and Xuesong Li and Guanghui Yan and Kunlin Yang},
journal = {Medicine},
year = {2026},
month = oct,
doi = {10.1097/md.0000000000051335},
url = {https://europepmc.org/article/PMC/PMC13727171},
note = {CC BY},
}
RIS
TY - JOUR
TI - Treatment of full-length ureteral avulsion due to ureteroscopy : Two case reports and a review of the literature
AU - Bin Feng
AU - Xiaopeng Wu
AU - Yilin Yuan
AU - Yongtao He
AU - Xuesong Li
AU - Guanghui Yan
AU - Kunlin Yang
PY - 2026
DA - 2026/10/30
JO - Medicine
DO - 10.1097/md.0000000000051335
UR - https://europepmc.org/article/PMC/PMC13727171
AB - Rationale:: Full-length ureteral avulsion is one of the most severe complications of ureteroscopy. Although this condition is extremely rare, the absence of standardized treatment protocols poses significant challenges for urologists in clinical management. Patient concerns:: In case A, the subject is a 48-year-old male, and in case B, the subject is a 63-year-old female. Both patients had full-length ureteral avulsion during ureteroscopic lithotripsy. Case B underwent emergent primary repair involving pyeloureterostomy, ureteroneocystostomy, and omental wrapping; however, the procedure failed to achieve satisfactory functional recovery, resulting in persistent obstruction. Diagnoses:: Based on clinical history and imaging findings, case A was diagnosed with full-length ureteral avulsion, and case B presented with ureteral stricture following primary in situ repair of full-length ureteral avulsion. Intervention:: Both patients were transferred to our center for upper urinary tract reconstruction 5 months after the original injury. Following bowel preparation, they underwent totally intracorporeal robot-assisted ileal ureter replacement. Outcomes:: Both patients demonstrated stable total renal function and adequate drainage from the reconstructed renal units postoperatively. Lessons:: The totally intracorporeal robot-assisted ileal ureter replacement represents a safe and effective treatment in managing full-length avulsion injuries of the ureter. Lifelong follow-up remains essential after reconstructive surgery and should include surveillance for obstruction, infection, metabolic complications, and renal deterioration. Preventive measures need to maintain paramount importance in clinical practice to avert such severe iatrogenic complications.
SN - 0304-5412
SN - 1536-5964
SN - 0025-7974
ER -