Inverted mucosa and avulsion ureteral injury in ureteroscopic procedure: A very rare complication of a common procedure in urology

Yasser Kuddah; Bambang Sasongko Noegroho; Aryo Teguh Abriansyah; Akhmad Mustafa

doi:10.1016/j.eucr.2021.101605

Inverted mucosa and avulsion ureteral injury in ureteroscopic procedure: A very rare complication of a common procedure in urology

Urol Case Rep. 2021 Feb 12:37:101605. doi: 10.1016/j.eucr.2021.101605. eCollection 2021 Jul.

Authors

Yasser Kuddah¹, Bambang Sasongko Noegroho¹, Aryo Teguh Abriansyah², Akhmad Mustafa¹

Affiliations

¹ Department of Urology, Faculty of Medicine, Padjadjaran University, Hasan Sadikin General Hospital, Jl. Pasteur no. 38, Bandung, West Java, 40161, Indonesia.
² Department of Urology, Dr. Soekardjo General Hospital, Jl. Rumah Sakit No.33, Empangsari, Tasikmalaya, West Java, 46113, Indonesia.

Abstract

An avulsion is very rare and the most serious complication that may occur during ureteroscopy in 0.06-0.45% of patients during the ureteral stone procedure. A sixty years-old female with a small stone in the upper third of the right ureter with high-grade hydronephrosis and underwent a ureteroscopy procedure. During withdrawal of the scope, the ureter was brought out in urethral meatus, with inverted fashion, nearly the whole length of the ureter was avulsed out. A nephrectomy of the right kidney was then performed. Knowledge about signs of the ureteral avulsion, pitfalls when to stop, and treatments is really important.

Keywords: Avulsion; URS; Ureteral injury.

Publication types

Case Reports