Surgical management in retroperitoneal fibrosis: beyond ureterolysis

Abstract Background Retroperitoneal fibrosis can be associated with bilateral dense and extensive periureteral adhesions. When ureterolysis could not successfully performed due to disease extent severity, elaborate ureteral reconstructive procedures will required. Case presentation A young male retroperitoneal presented hydroureteronephrosis. The involvement was adhesions were dense. He managed by laparoscopic boari flap ureteroneocystostomy on one renal unit nephrectomy autotransplantation the other unit. Conclusions Ureterolysis is feasible in all cases of fibrosis. Extensive reconstruction without using intestinal segments feasible. Minimally invasive surgical employed such scenarios also.