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Testicular Necrosis Post Kidney Transplantation: Lessons Learned
Leila M Sabbagh1, Anil Paramesh1, Louis S Krane2
1Department of Surgery, Tulane School of Medicine, New Orleans, Louisiana.
Transplantation Proceedings
|January 11, 2022
Summary
Testicular necrosis is a rare but serious complication following kidney transplantation. This case highlights the importance of monitoring for genitourinary issues in transplant recipients.
Area of Science:
- Nephrology
- Urology
- Transplantation Surgery
Background:
- Kidney transplantation is a life-saving procedure for end-stage renal disease.
- Testicular complications post-kidney transplant are infrequently documented.
- Previous literature reports only two instances of testicular necrosis after kidney transplant.
Observation:
- A 60-year-old male patient underwent a deceased-donor kidney transplant.
- The patient experienced delayed graft function, urinary tract infection, and epididymo-orchitis.
- A necrotic testis was observed, requiring radical orchiectomy on postoperative day 15.
Findings:
- This case presents a rare instance of testicular necrosis following kidney transplantation.
- Genitourinary complications, including infection and ischemia, can occur post-transplant.
- Intraoperative factors like spermatic cord manipulation and lymphovascular structure ligation may contribute.
Implications:
- Kidney transplant recipients with complex comorbidities are at increased risk for testicular complications.
- Awareness and vigilance for testicular issues are crucial in post-transplant care.
- Further research is needed to understand and mitigate these rare but severe complications.
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