Introduction: Urological complications after renal transplantation are one of the main causes of patient morbi-mortality and delayed recovery of renal graft function. Urinary fistula is a rare urological complication that occurs early after renal transplantation and may lead to graft loss and patient’s death. Here, there is a report that we have made to the observation of a patient with a delayed urinary fistula after renal transplantation. Observation: This was a 60-year-old male patient, with kidney failure due to undetermined nephropathy. He has developed urine leakage 30 days after renal transplantation caused by ischaemic necrosis of the distal ureter, treated surgically with a good outcome. Conclusion: The prevention of surgical complications of transplan-tation requires careful preparation of the transplant, and strict adherence to good surgical practice.
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