Previous abdominal surgeries have been viewed as a relative contraindication to laparoscopy. The authors report a case of a distal third ureteral stricture previously managed by multiple endoscopic and open procedures and successfully repaired with an exclusively laparoscopic approach.

A 37-year-old female, diagnosed case of chronic endometriosis had previously undergone an open excision of left ovarian cyst and an ipsilateral open psoas hitch reimplantation. Her right distal third ureteral stricture had been on chronic ureteral stent replacement for the past three years. After a comprehensive preoperative evaluation, the patient underwent a successful and uncomplicated laparoscopic ureteral reimplantation on the left. The authors describe their surgical technique and the challenges they encountered therein.

Recurrent distal third ureteral stricture previously managed by multiple open and endoscopic surgeries is a challenging disease to manage. An experienced minimally-invasive surgical team can successfully manage this problem laparoscopically without immediately resorting to open.