OBJECTIVES: The most frequent ureterallesions are iatrogenic, mainly due to gynecologicand urologic procedures. The resolution and repair ofthese lesions, when they require surgery, is often theperformance of ureteroneocystostomy.We describe the technique for the repair of distal ureterlesions that preserves both anatomy and function of theurinary tract (1).The operation consists in dissection and extraction ofthe distal ureteral stump from its intramural tract to getat least 1 cm of free ureter, percutaneous insertion of aureteral stent, checking the absence of tension between proximal ureter and distal dissected stump, end to endanastomosis and reinsertion of the distal ureter in thepreviously dissected bladder muscle layer.We present 4 cases of ureteral injury after laparoscopicsimple total hysterectomy for uterine myomas withcomplete section of the distal ureter, that were operated3-5 days after injury, performing laparoscopic repairsurgery.We performed clinical and radiological control withintravenous urography demonstrating ureteral continuitynormalization and good renal function. We believethat repair of the urinary tract with anatomical andphysiological preservation must be the first option in thelaparoscopic treatment of complete distal ureteral injuries,and intramural ureter dissection when needed avoids theperformance of ureteroneocystostomy. It is necessary tokeep progressing in the technique improvement, and toincrease the number of cases and experience