Avulsion of the Ureter Caused by Stone Basket Manipulation

Abstract
A case of an iatrogenic loss of 18 cm of the distal ureter owing to attempted basket retrieval of a lower ureteral stone [in a 56 yr old man] was reported. The defect was bridged by mobilizing the kidney, constructing a Boari flap and fixing the bladder with a Psoas hitch. The complications of stone manipulation are reviewed and discussed.