title: Full-length ureteral avulsion caused by ureteroscopy: report of one case cured by pyeloureterostomy, greater omentum investment, and ureterovesical anastomosis.
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.
authors.forename: Peng
authors.initials: P
authors.lastname: Gao
authors.forename: Jin
authors.initials: J
authors.lastname: Zhu
authors.forename: Yibin
authors.initials: Y
authors.lastname: Zhou
authors.forename: Yuxi
authors.initials: Y
authors.lastname: Shan
mesh_terms: D000714:Anastomosis, Surgical; D006801:Humans; D008297:Male; D008875:Middle Aged; D009852:Omentum / Q000601:surgery; D012189:Retrospective Studies; D015607:Stents; D014513:Ureter / Q000293:injuries* / Q000601:surgery*; D014514:Ureteral Calculi / Q000628:therapy; D018666:Ureteroscopy / Q000009:adverse effects*; D014519:Ureterostomy / Q000379:methods*