The therapeutic goal of managing renal transplant complications is to ensur
e optimal recipient and graft outcomes, while minimizing recipient morbidit
y and potential secondary complications. Dense peri-transplant scar tissue
may hamper open surgical correction of renal transplant complications, and
correction may require complex reconstructive procedures. More recently, pr
inciples derived from endourology, laparoscopy, and interventional radiolog
y have been applied to renal transplant complications with encouraging resu
lts. In carefully selected patients, minimally invasive management plans ca
n be offered as reasonable alternatives to, and in some cases as superior a
pproaches to conventionally open surgical repair, though clearly not all co
mplications are amenable or appropriate for this form of management.