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Objective: To describe a case of "lead pipe" transplanted ureter. Case: A 16-year-old boy presented with a progressive increase in serum creatinine level and hydronephrosis 8 months after renal transplantation. An indwelling urethral catheter had not improved renal function. Following insertion of a nephrostomy tube, the creatinine level normalized. Antegrade pyelography demonstrated slow passage of contrast material through the ureter with no stricture. Result: Treatment consisted ofdoi:10.33311/medcon.2012.22.2.10 fatcat:k4g53pcl7nblbbvf35njfopvva