The author presents a case of successful laparoscopic repair of a uret
eral perforation happening during ureterolithotripsy (URS). The perfor
ation of the mid-ureter was managed by a retroperitoneal approach: the
stone from the retroperitoneum was removed, a double-J stent was inse
rted up to the kidney, the perforation opening was sutured, and the re
troperitoneum was drained, The patient healed without any complication
. Similar management of a ureteral perforation has not been found in t
he literature.