title: Management of full-length complete ureteral avulsion.
abstract: BACKGROUND
  Complete ureteral avulsion is one of the most serious complications of ureteroscopy. The aim of this report was to look for a good solution to full-length complete ureteral avulsion.
  
  
  METHODS
  A 40-year-old man underwent ureteroscopic management. Full-length complete avulsion of ureter occurred during ureteroscopy. Pyeloureterostomy plus greater omentum investment outside the avulsed ureter and ureterovesical anastomosis were performed 6 hours after ureteral avulsion. The patient was followed-up during 34 months. Double-J tube was removed at 3 months after operation. Twenty three months after the first operation, the patient developed hydronephrosis because of a new ureter upside stone, then rigid ureteroscopy and holmium laser lithotripsy were used successfully.
  
  
  CONCLUSIONS
  Pyeloureterostomy plus greater omentum investment outside the avulsed ureter and ureterovesical anastomosis may be a good choice for full-length complete ureteral avulsion.
authors.affiliation: Department of Urology, Affiliated Hospital of Guizhou Medical University, Guiyang, China.
authors.forename: Kaifa
authors.initials: K
authors.lastname: Tang
authors.affiliation: Department of Urology, Affiliated Hospital of Guizhou Medical University, Guiyang, China.
authors.forename: Fa
authors.initials: F
authors.lastname: Sun
authors.affiliation: Department of Urology, Affiliated Hospital of Guizhou Medical University, Guiyang, China.
authors.forename: Yuan
authors.initials: Y
authors.lastname: Tian
authors.affiliation: Department of Urology, Affiliated Hospital of Guizhou Medical University, Guiyang, China.
authors.forename: Yili
authors.initials: Y
authors.lastname: Zhao
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical; D019468:Disease Management; D006801:Humans; D006869:Hydronephrosis / Q000601:surgery; D008297:Male; D009852:Omentum / Q000601:surgery; D016896:Treatment Outcome; D014513:Ureter / Q000293:injuries*; D014515:Ureteral Diseases / Q000209:etiology* / Q000601:surgery*; D018666:Ureteroscopy / Q000009:adverse effects*; D014519:Ureterostomy / Q000379:methods*; D052878:Urolithiasis / Q000601:surgery