Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Sep 17;6(3):177-179.
doi: 10.1089/cren.2020.0006. eCollection 2020.

Ureteral Avulsion During Retrograde Intrarenal Surgery: When the Unexpected Happens

David Denis  1   2 , Sergio Moreno  1   3 , Alfredo Velasco  1   3 , José A Salvadó  1   3
Affiliations

Ureteral Avulsion During Retrograde Intrarenal Surgery: When the Unexpected Happens

David Denis et al. J Endourol Case Rep. .

Abstract

We report the case of a 49-year-old woman affected by bilateral urinary stones. Bilateral semirigid ureteroscopy was performed followed on the left side by a flexible ureteroscopy, caused by localization of the stone. Unfortunately, disinsertion of the left ureter occurred during the intervention. Open conversion was performed in the same single procedure for left ureteral reimplant. After an easy recovery, the patient was rehospitalized on day 9 postintervention for left pyelonephritis. This case report discusses the management of this rare but serious complication, including the necessity for quick thinking and decision making.

Keywords: flexible ureteroscopy; ureteral avulsion; ureteral instrumentation; ureteroscopy; urolithiasis.

PubMed Disclaimer

Conflict of interest statement

No competing financial interests exist.

Figures

FIG. 1.
FIG. 1.
Ureteral stone at the right ureterovesical junction (maximum diameter of 7 mm; 1200 HU).
FIG. 2.
FIG. 2.
Left renal stone, in the inferior caliceal group (maximum diameter of 6 mm; 980 HU).
FIG. 3.
FIG. 3.
Solution of continuity in the distal left ureter on retrograde pyelogram.
FIG. 4.
FIG. 4.
Solution of continuity in the distal left ureter on retrograde pyelogram.
See this image and copyright information in PMC

References

    1. de la Rosette J, Denstedt J, Geavlete P, et al. . The clinical research office of the endourological society ureteroscopy global study: Indications, complications, and outcomes in 11,885 patients. J Endourol 2013;28:131–139 - PubMed
    1. Ibrahim AK. Reporting ureteroscopy complications using the modified Clavien classification system. Urol Ann 2015;7:53–57 - PMC - PubMed
    1. Somani BK, Giusti G, Sun Y, Osther PJ, Frank M, De Sio M, Turna B, De la Rosette J. Complications associated with ureteroscopy (URS) related to treatment of urolithiasis: The Clinical Office of Endourological Society URS Global Study. World J Urol 2017;35:675–681 - PMC - PubMed
    1. Schoenthaler M, Wilhelm K, Kuehhas FE, et al. . Postureteroscopic lesion scale: A new management modified organ injury scale—evaluation in 435 ureteroscopic patients. J Endourol 2012;26:1425–1430 - PubMed
    1. Türk C, Skolarikos A, Neisius A, Petřík A, Seitz K, Donaldson JF, Drake T, Grivas N, Ruhayel Y.. EAU guidelines on urolithiasis. Eur Urol 2019 - PubMed

LinkOut - more resources