The author presents a case of successful laparoscopic repair of a ureteral perforation happening during ureterolithotripsy (URS). The perforation of the mid-ureter was managed by a retroperitoneal approach: the stone from the retroperitoneum was removed, a double-J stent was inserted up to the kidney, the perforation opening was sutured, and the retroperitoneum was drained. The patient healed without any complication. Similar management of a ureteral perforation has not been found in the literature.
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