Post-Laparoendoscopic Single-Site Donor Nephrectomy Ipsilateral Testicular Pain, Does Operative Technique Matter? A Single Center Experience and Review of Literature

Hany M El Hennawy; Abdullah S Al Faifi; Eisa Al Atta; Omar Safar; Saad Thamer; Weam El Nazer; Ahmed I Kamal; Abdelaziz A Abdelaziz; Shaher A Kawasmeh; Naveed Mirza; Mohammad F Zaitoun; Khalid Al-Alsheikh; Osama Shalkamy; Ahmed Mahedy

doi:10.1155/2022/3292048

Post-Laparoendoscopic Single-Site Donor Nephrectomy Ipsilateral Testicular Pain, Does Operative Technique Matter? A Single Center Experience and Review of Literature

Minim Invasive Surg. 2022 Mar 23:2022:3292048. doi: 10.1155/2022/3292048. eCollection 2022.

Authors

Affiliations

¹ Surgery Department, Section of Transplantation, Armed Forces Hospitals Southern Region, Khamis Mushayte 101, Saudi Arabia.
² Urology Department, Armed Forces Hospitals Southern Region, Khamis Mushayte 101, Saudi Arabia.
³ Mansoura Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.
⁴ Pharmacy Department, Armed Forces Hospitals Southern Region, Khamis Mushayte 101, Saudi Arabia.
⁵ Urology Department, Faculty of Medicine, Al Azhar University, Cairo, Egypt.

Abstract

Aim: To assess incidence and characteristics of post-laparoendoscopic single-site donor nephrectomy (LESS DN) testicular pain.

Materials and methods: A prospective comparative study of all male donors post-left LESS DN (group A) vs. postopen nephrectomies (group B) was performed at our center. Patients' demographics, perioperative data, and postoperative consultation reports were reviewed. Testicular pain, swelling, numbness, urinary symptoms, and sexual dysfunction were evaluated. Patients with a history of scrotal pathology or surgical procedure were excluded. Pain and tenderness were scored on a standard 10-point scale.

Results: From September 2017 to December 2020, 85 and 35 male patients of groups A and B met the evaluation criteria. Ipsilateral testicular pain developed in 11 patients (15.3%) and 2 patients (9.5%) in groups A and B, respectively. In most instances, the pain was mild to moderate in severity, started after 6 ± 2.1 and 4 ± 1.1 days postoperatively in groups A and B, respectively. Six patients in group A were evaluated with transscrotal ultrasonography that showed no abnormalities. All patients in both groups responded well to medical treatment.

Conclusions: Post-LESS DN ipsilateral testicular pain is usually mild and self-limited. Preoperative patient education and discussion of the possibility of development of testicular pain and its management should be an integral component of laparoscopic donor nephrectomy informed consent.

Publication types

Review