Management of Ureteric Avulsion During Ureteroscopy: Our Experience in A Case Series

Pulkit Gupta, Vikram Prabha, Ritesh Vernekar, Shisher Devaraju, Sushant Deole, Priyabrata Adhikar

Abstract


Ureterorenoscopy (URS) is usually a safe procedure without any complications. Ureteric avulsion is the most dreaded complication of URS. Most urologists do not have experience in management of ureteric avulsion injuries. Inappropriate management can lead to nephrectomy. Here we are discussing our experience and possible leading factors of this catastrophic complication. We retrospectively reviewed the clinical notes, imaging records, and laboratory investigations of four patients who have been managed for ureteric avulsion in our center during a 12-year period (2008 - 2019). Two cases of lower ureteric avulsion were managed with immediate ureterocystoplasty. Out of which one patient underwent nephroureterectomy. Two cases with total ureteric avulsion were managed with delayed ileal replacement and psoas hitch with Boari flap reconstruction, respectively. During minimum follow-up period of 1 year, no evidence of deterioration in renal function was noted. Use of small caliber scope, proper handling of instruments and minimum forceful manipulation can prevent ureteric avulsion. In experienced hands it can be managed without the requirement of nephrectomy.




World J Nephrol Urol. 2020;9(2):45-51
doi: https://doi.org/10.14740/wjnu417

Keywords


Ureteric avulsion; Ureteroscopic intracorporeal lithotripsy; Endourology; Complications

Full Text: HTML PDF
 

Browse  Journals  

     

Journal of clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics

World Journal of Oncology

Gastroenterology Research

Journal of Hematology

Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity

Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research

Journal of Neurology Research

International Journal of Clinical Pediatrics

 

 

 

 

 

World Journal of Nephrology and Urology, quarterly, ISSN 1927-1239 (print), 1927-1247 (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)


This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.wjnu.org   editorial contact: editor@wjnu.org
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada
© Elmer Press Inc. All Rights Reserved.