Ureteral injury from ureteroscopic stone manipulation

Area of Science:

• Urology
• Endourology
• Surgical Complications

Background:

• Ureteroscopy is a common procedure for kidney stone removal.
• Upper tract endoscopy carries inherent risks that require careful consideration.
• Patient safety and procedural transparency are paramount in urological practice.

Observation:

• A patient undergoing ureteroscopy for stone removal experienced a ureteral tear.
• The tear led to extensive ureteral necrosis, a severe complication.
• Ureteroneocystostomy was required to repair the damage.

Findings:

• Complications from upper tract endoscopy, including ureteral injury, can occur.
• Necrosis of the ureter is a serious adverse event following ureteroscopy.
• Complex reconstructive surgery may be necessary to manage ureteral damage.

Implications:

• Urologists should meticulously document and report all ureteroscopy-related complications.
• Informed consent processes must adequately apprise patients of the risks associated with ureteroscopy.
• Adherence to best practices in endourology is crucial to minimize patient harm.