Abstract

Ureteral pathology presents a unique challenge to the surgeon, as it potentially can occur over a considerable distance reaching from the renal fossa down into the pelvis. Consequently, traditional open surgery may require multiple incisions to fully correct the problem, such as the combination of a flank incision with a Pfannenstiel incision. The laparoscopic approach lends itself well to surgery addressing ureteral pathology as it provides ready access to the entire length of the ureter all through the same access points. This chapter will review indications for ureteral surgery, the principles of traditional open ureteral surgery, the laparoscopic approach to ureteral surgery, and potential complications of ureteral surgery.

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