Ureteral avulsion as a complication of ureteroscopy

PURPOSE: Report and review the literature on ureteral avulsion as a rare complication of ureteroscopy. MATERIALS AND METHODS: We analyzed 3 cases of ureteral avulsion in a series of 4,645 ureteroscopic procedures performed from January 1990 to December 2001. We especially report the different manage...

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Main Authors: J.M. Alapont, E. Broseta, F. Oliver, J.L. Pontones, F. Boronat, J.F. Jiménez-Cruz
Format: Article
Language:English
Published: Sociedade Brasileira de Urologia 2003-02-01
Series:International Brazilian Journal of Urology
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382003000100004
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author J.M. Alapont
E. Broseta
F. Oliver
J.L. Pontones
F. Boronat
J.F. Jiménez-Cruz
author_facet J.M. Alapont
E. Broseta
F. Oliver
J.L. Pontones
F. Boronat
J.F. Jiménez-Cruz
author_sort J.M. Alapont
collection DOAJ
description PURPOSE: Report and review the literature on ureteral avulsion as a rare complication of ureteroscopy. MATERIALS AND METHODS: We analyzed 3 cases of ureteral avulsion in a series of 4,645 ureteroscopic procedures performed from January 1990 to December 2001. We especially report the different managements for this complication. RESULTS: Due to the different extent of the injury, each patient was treated in a particular way, including a patient managed by means of an endourological approach. CONCLUSIONS: When performing ureteroscopy or using Dormia baskets, one should always bear in mind the possibility of serious complications, including ureteral avulsion or perforation. The use of an extremely careful technique of ureteral insertion, the mandatory placement of a safety guidewire, and a working guidewire, all minimize the risk of untoward events.
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spelling doaj.art-34e1627f9fec4ff099f3b03a280c16832022-12-22T02:28:49ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-55381677-61192003-02-01291182310.1590/S1677-55382003000100004Ureteral avulsion as a complication of ureteroscopyJ.M. AlapontE. BrosetaF. OliverJ.L. PontonesF. BoronatJ.F. Jiménez-CruzPURPOSE: Report and review the literature on ureteral avulsion as a rare complication of ureteroscopy. MATERIALS AND METHODS: We analyzed 3 cases of ureteral avulsion in a series of 4,645 ureteroscopic procedures performed from January 1990 to December 2001. We especially report the different managements for this complication. RESULTS: Due to the different extent of the injury, each patient was treated in a particular way, including a patient managed by means of an endourological approach. CONCLUSIONS: When performing ureteroscopy or using Dormia baskets, one should always bear in mind the possibility of serious complications, including ureteral avulsion or perforation. The use of an extremely careful technique of ureteral insertion, the mandatory placement of a safety guidewire, and a working guidewire, all minimize the risk of untoward events.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382003000100004ureterureteroscopylithiasisintraoperative complications
spellingShingle J.M. Alapont
E. Broseta
F. Oliver
J.L. Pontones
F. Boronat
J.F. Jiménez-Cruz
Ureteral avulsion as a complication of ureteroscopy
International Brazilian Journal of Urology
ureter
ureteroscopy
lithiasis
intraoperative complications
title Ureteral avulsion as a complication of ureteroscopy
title_full Ureteral avulsion as a complication of ureteroscopy
title_fullStr Ureteral avulsion as a complication of ureteroscopy
title_full_unstemmed Ureteral avulsion as a complication of ureteroscopy
title_short Ureteral avulsion as a complication of ureteroscopy
title_sort ureteral avulsion as a complication of ureteroscopy
topic ureter
ureteroscopy
lithiasis
intraoperative complications
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382003000100004
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