Introduction: Iatrogenic ureteral lesions are well-known complications of abdominal and pelvic surgery. A combined radiologic-urologic approach might be necessary to repair these lesions.
Materials and methods: A 69-year-old woman underwent bilateral hysteroannessectomy for endometrial cancer. She then became anuric. A CT scan showed multiple urinomas caused by bilateral ureteral lesions. The continuity of the two urinary tracts was restored using ureteral stents in a combined urologic and radiologic procedure.
Results: The patient improved clinically and the renal function returned within normal limits.
Conclusions: The combined antegrade-retrograde approach is an effective technique to solve iatrogenic ureteral lesions.