Laparoscopy is now a recognized and widely performed treatment modality for certain ureteric diseases (stones, ureteropelvic junction syndrome, etc.). Vesicopsoas hitch is a reference technique for the treatment of defects of the pelvic ureter larger than 5 cm. The authors report 2 cases of fibrous stenosis of the pelvic ureter effectively treated by laparoscopic vesicopsoas hitch after failure of endourological treatment. The details of the technique and its advantages are described and discussed. The authors believe that laparoscopic vesicopsoas hitch is feasible and reproducible. Larger series of patients treated by laparoscopy are required to allow comparison with conventional open surgery.