Aim: To study the advantage of excision of the distal symptomatic ureteric stumps with the retroperitoneal laparoscopic approach. Methods: Four patients who had failed to settle their symptoms with the initial conservative management were included in the study. All underwent excision of the distal symptomatic ureteric stumps with the retroperitoneal laparoscopic approach and then received prophylactic antibiotics. Results: We have achieved better results than those reported in the literature in terms of operating time (mean 1 h 45 min), blood loss (<10 mL), postoperative recovery (within 12 h) and hospital stay (<48 h). Conclusion: Retroperitoneal laparoscopic excision is a safe, simple and effective method in the management of symptomatic ureteric stumps.
    
    

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