Renal Autotransplantation for Managing Severe Proximal Ureteric Injury

Abstract

Proximal ureteric injuries are most severe complication of ureterorenoscopic procedures. Most patients with severe proximal ureteric injuries have good renal function and wish to protect their kidney. We report a 40-year-old patient with proximal ureteric avulsion due to ureterorenoscopic intervention, who underwent successful autotransplantation. Autotransplantation offers salvage of the kidney with acceptable complication rate, and is a better treatment option for severe ureteric injuries than ileal interposition and nephrectomy.