Abstract

Urine leak is a common urological complication leading to considerable morbidity, graft loss and even mortality. Most common cause being the technical error, it can be avoided by following good surgical principles during ureterocystoneostomy in renal transplantation. Clinical findings, imaging and biochemical analysis of the drained or collected fluid around the graft form the basis of early detection of urine leak postoperatively. It can be managed endourologically with percutaneous nephrostomy with or without ante grade DJ stenting. Early surgical exploration has high success rate and should be carried out for extensive urine leak and the leak which could not be managed endourologically or conservatively. Optimal management of urine leak has equivalent graft survival rate when compared with those without urological complications.