Objective:To summarize clinical experience of urethral realignment for posterior urethral rupture by ureteroscope.Method:Twenty-seven cases of posterior urethral rupture underwent ureteroscopic urethral realignment in the early stage.Result:All 27cases were successfully operated without conversion to open surgery.Conclusion:Ureteroscopic urethral realignment is a safe and effective method for patients with posterior urethral disruption.