Orchialgia After Living Donor Nephrectomy: An Underreported Entity

Area of Science:

• Urology
• Nephrology
• Surgical Outcomes

Background:

• Laparoscopic donor nephrectomy (LDN) is preferred for its donor advantages.
• Reported incidence of post-LDN testicular pain (orchialgia) varies widely (3-55%).

Purpose of the Study:

• To investigate the actual incidence and characteristics of testicular pain following LDN in male donors.
• To assess the need for further medical evaluation for post-LDN testicular symptoms.

Main Methods:

• A survey was distributed to 322 male LDN patients who donated between February 2009 and February 2019.
• The survey collected data on the occurrence of testicular pain, its characteristics, and subsequent medical consultations.

Main Results:

• A 46% response rate (147 donors) was achieved.
• 39% of left nephrectomy donors and 35% of right nephrectomy donors reported testicular pain.
• Testicular swelling was reported by 23.8% (left) and 16.7% (right) of those with pain. Laterality did not affect pain characteristics.
• 27 patients sought medical care; diagnoses included hydroceles, cysts, and UTIs, with most receiving reassurance.

Conclusions:

• Orchialgia after LDN is more common than previously assumed.
• Testicular pain represents a significant, albeit often minor, complication for male kidney donors.