To explore the incidence, risk factors, clinical presentation, management options, and outcome of post renal transplantation (RTx) urological complications (UC). Between November 1993 and December 2005, 646 RTx procedures were performed. After exclusion of patients who died, had graft loss or left country soon after Tx, recipients were 344 males, 237 females and 81 of them were children. Medical records were retrospectively reviewed for (UC). Affected patients presented clinically with impaired kidney function and diagnosis was confirmed by ultrasound, isotope renal scan, MR and antegrade urography. Ureteric stricture (US) was managed by percutaneous antegrade ureteric dilatation and stenting, or by surgical reconstruction. Urine leak (UL) was treated by prolonged bladder drainage or surgical reconstruction. Renal stone was treated with ESWL. (UC) were detected in 31 recipients (4.8%). Recipients were 21 males and 10 females, 4 of them were children. Kidney grafts were obtained from 19 LD and 12 CD. [A] (US) was diagnosed in 15 recipients (2.58%). Percutaneous ureteric dilatation and stenting was attempted in all cases with long term successful in 7 (46.6%), surgical treatment was successfully performed in the remaining 8 (53.3%). [B] (UL) was detected in 15 recipients (2.58%). Prolonged bladder drainage was successful in 5 cases, and the remaining 10 had uretero-vesical reimplantation. [C] Ureteric stone was detected in one case (0.17%) and treated successfully with ESWL. There was no graft loss in the present series secondary to (UC). in the present series, the incidence of post-KTx (UC) was low (4.8%). (US) presented late post transplantation and found more common in children (4.23%), male recipients (3.2%) and after cadaveric transplantation (4.08%). While (UL) presented early and found more common in elderly (4.69%), male patients (2.91%) and after cadaveric transplantation (4.08%). All (UC) were successfully managed with no graft loss.