Abstract
Video Objective To elucidate the precautions involved in preventing ureteric injury in laparoscopy. To demonstrate management of ureteric injury and technique of ureteric re-implantation in diseased distal third of ureter Setting 39 yr old female with dysmenorrhoea & dyspareunia, diagnosed as having advanced endometriosis with recto-vaginal and ureteric involvement at our Tertiary Care University recognised Endoscopy Referral Unit Interventions Uretero - Neo - Cystostomy with Psoas Hitch to excise diseased distal third of ureter. Double cystotomy technique to draw in the ureter and suture internally to the bladder mucosa after achieving adequate mobilisation of the bladder and ureter in a tension free manner Conclusion Precautions and pre-operative planning and imaging can help avert injuries to vital structures. Ureteric injury, if encountered, can be handled laparoscopically if correct principles are followed, with a urologist standby for medico-legal purposes
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