Ureteric avulsion during ureteroscopy is unwanted and catastrophic complication so its effective management requires rapid establishment of continuity of avulsed ureter. These surgical procedures need substantial surgical expertise along with suitable physical conditions of the patient. Timely and accurate decision making is also important for the management of this complication of ureteroscopy. Although percutaneous nephrostomy is an effective and safe approach but its effect on quality of life and post surgical complications unfavours its use as first line option. Alternative to this, immediate and direct repair produces favorable outcomes. Autotransplant was done in our patient after discussing different options as there are multiple clinical evidences to support the accomplishment of a successful outcome.
Operative Surgical Pictures