Management Challenges of Ureteral Foreign Body- Clinical Vignette and Review of Literature

Main Article Content

Ayun Kotokai Cassell
Mohamed Jalloh
Mouhamadou M. Mbodji
Abdourahmane Diallo
Madina Ndoye
Yoro  Diallo
Issa Labou
Lamine Niang
Serigne M. Gueye


Grasping Forceps, Holium Laser, Ureteroscopy


Foreign body in the ureter is not common. Most cases of eroded foreign body are preceded by an endoscopic or laparoscopic procedure. For most cases, ureteroscopy, holmium laser fragmentation of encrusted or calcified foreign body followed by extraction of foreign body using grasping forceps have provided optimal outcome. The literature review was conducted to assess the challenges in the management of ureteral foreign body in 13 case reports and compared the outcome using a clinical vignette of a 48-year-old female with metallic clip in the left proximal ureters following laparoscopic left hemicolectomy managed successfully with ureteroscopic holmium laser fragmentation and extraction with grasping forceps.


Download data is not yet available.
Abstract 32 | pdf Downloads 53


1. Sener TE, Cloutier J, Audouin M. A guidewire introducer as a ureteral foreign body: A case report Can Urol Assoc J 2015;9(5–6):E384-6
2. Shrivastava P, Nayak B, Singh P. Migrated Hem-o-Lok clips in the ureter: a rare cause of recurrent urinary tract infection BMJ Case Rep 2017. doi:10.1136/bcr-2016-219143
3. Kurz D, Mucksavage P.; The endoscopic removal of eroded foreign bodies in the ureter journal of endourology case reports 2016;2(1):30–32 DOI: 10.1089/cren.2016.0009
4. Silva ML, Sanguinetti H, Battiston S. Simultaneous ureteral and renal foreign bodies. J Endourol Case Rep 2019;5(1):1–3.
5. Miraliakbari H, Tse E. Ureteral erosion of a transvaginal tape Can Urol Assoc J 2011;5(3):e44–e46; DOI:10.5489/cuaj.10125
6. Da Silva V, Taylor J. Ureteric foreign body following previous aorto-iliac graft Can Urol Assoc J 2015;9(5–6):E300-1.
7. Shuaibin W, Haiqi M, Qin F, Haifeng Y. An unusual complication of suprapubic catheter migration into the left. Ureter Case Rep 2018;15(3):62–63
8. Murat Dursun1, Eyyup Danis, Alper Otunctemur, Foreign body stone of the ureter originated from the suture thread: a case report. Prague Med Rep 2014;(115)3–4:141–144
9. Chen WJ, Wang SC, Chen SL. Foreign body in the ureter: A particle of glue after transarterial embolization of a renal pseudoaneurysm during percutaneous nephrostomy. J Chinese Med Assoc 72012;5:183–86.
10. Lawrentschuk N, Rogerson J, Bolton M. Use of holmium laser for removal of an intraluminal ureteric suture. Int J of Urol 2004;11:916–18.
11. Xueyan Li, Hongran Li, Chunmei Li. Migration of an intrauterine device causing severe hydronephrosis progressing to renal failure Medicine 2019;98(3):1–5.
12. Qublan HS, Dabbas MA. Misplacement of an intrauterine contraceptive device into the ureter after uterine wall perforation BJU Internat 2002;90:135–36.
13. Mamoulakis C, Gorgoraptis P, Kehagias E, Karantanas A. Foreign body mimicking neoplasia of the renal pelvis on magnetic resonance imaging. Turk J Urol 2017;44(1):82–6.