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Related Experiment Videos

Ipsilateral orchialgia after laparoscopic donor nephrectomy.

Fernando J Kim1, Peter Pinto, Li Ming Su

  • 1James Buchanan Brady Urological Institute, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA. fkimmd@yahoo.com

Journal of Endourology
|September 11, 2003
PubMed
Summary

A complication of laparoscopic donor nephrectomy (LDN) is ipsilateral orchialgia in male patients. This study found a 9.6% incidence, with unclear etiology but potential nerve injury during dissection. Conservative management is often effective.

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Area of Science:

  • Urology
  • Nephrology
  • Surgical Complications

Background:

  • Laparoscopic donor nephrectomy (LDN) is a common procedure with generally low complication rates.
  • A previously unreported complication, acute ipsilateral orchialgia, has been observed in male patients post-LDN.
  • Understanding the incidence and etiology of this complication is crucial for patient care.

Purpose of the Study:

  • To assess the incidence of ipsilateral orchialgia following laparoscopic donor nephrectomy (LDN).
  • To investigate the potential causes and contributing factors of post-LDN orchialgia.
  • To inform preventive strategies and management approaches for this complication.

Main Methods:

  • Retrospective chart review of 381 consecutive LDNs performed between February 1995 and November 2001.

Related Experiment Videos

  • Analysis focused on 157 male patients to identify cases of postoperative orchialgia.
  • Surgical technique details, including vessel ligation and tissue dissection, were reviewed.

    • Main Results:

    • 14 out of 145 male patients (9.6%) undergoing left-sided LDN reported ipsilateral orchialgia.
    • No significant differences were found in operative time, blood loss, ischemia time, or ureteral length between orchialgia and non-orchialgia groups.
    • Pain onset averaged postoperative day 5; 50% experienced spontaneous resolution within 6.3 months.

    Conclusions:

    • Laparoscopic donor nephrectomy (LDN) is effective and safe, but ipsilateral orchialgia is a notable complication.
    • The etiology of orchialgia post-LDN is unclear, possibly related to nerve injury during periureteral tissue dissection or spermatic cord transection.
    • Further research is needed to understand the pathophysiology and develop targeted interventions.