ABSTRACT Complex ureteral stricture is a challenge for the reconstructive urologist, the surgical technique depends on the length of the segment. Surgical expertise is fundamental due to the limited surgical management in this scenario. We aim to describe the surgical technique and long-term follow-up of complex ureteral injury reconstruction with the Yang-Monti ileal ureter approach, which can be achieved successfully. A literature review was made using Medscape, Embase, and SciELO databases. We describe the cases of two female patients who had complex ureteral injury after urological procedures. Due to the extent of the ureteral stricture, the Yang-Monti ileal ureter was the best option to preserve renal function successfully in these patients. The Yang-Monti ileal ureter is a feasible surgical technique for the reconstruction of complex ureteral strictures when other approaches have failed. The right selection of patients is fundamental to achieving good results.