Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2012 Sep;94(6):407-10.
doi: 10.1308/003588412X13171221592177.

Laparoscopic donor nephrectomy: an increasingly common cause for testicular pain and swelling

M Jalali  1 , S Rahmani, A D Joyce, J J Cartledge, M H Lewis, N Ahmad
Affiliations

Laparoscopic donor nephrectomy: an increasingly common cause for testicular pain and swelling

M Jalali et al. Ann R Coll Surg Engl. 2012 Sep.

Abstract

Introduction: Laparoscopic donor nephrectomy (LDN) is now a well established method for kidney procurement from living donors. In our centre, LDN is currently offered only to donors suitable for left nephrectomy. The aim of this study was to investigate the incidence of testicular pain and swelling following LDN.

Methods: A total of 25 left-sided LDN male patients were assessed in a prospective structured interview together with a control cohort of 25 male patients who had undergone left-sided open donor nephrectomy (ODN).

Results: Data were collected on testicular pain, swelling, numbness, urinary symptoms and sexual dysfunction from all 50 patients (100% response rate). Of the 25 LDN patients, 11 (44%) experienced ipsilateral testicular pain and/or swelling. In most instances, pain was of immediate onset, mild to moderate in severity, lasted for a few days to several weeks and was associated with testicular swelling (10 of 11 cases). However, testicular pain and/or swelling were not apparent in ODN patients, with only 2 of 25 (8%) experiencing mild testicular pain, 1 of whom also had swelling.

Conclusions: Testicular pain and swelling following LDN is a common problem. It is underreported in the literature and LDN should be included in the differential diagnoses of testicular pain and swelling. Further investigation is required to confirm our findings.

PubMed Disclaimer

References

    1. Ratner LE, Ciseck LJ, Moore RGet al.Laparoscopic live donor nephrectomy. Transplantation 1995; 60: 1,047–1,049 - PubMed
    1. Troppmann C, Perez RV, McBride M. Similar long-term outcomes for laparoscopic versus open live-donor nephrectomy kidney grafts: an OPTN database analysis of 5532 adult recipients. Transplantation 2008; 85: 916–919 - PubMed
    1. Sener A, Cooper M. Live donor nephrectomy for kidney transplantation. Nat Clin Pract Urol 2008; 5: 203–210 - PubMed
    1. Hadjianastassiou VG, Johnson RJ, Rudge CJ, Mamode N. 2509 living donor nephrectomies, morbidity and mortality, including the UK introduction of laparoscopic donor surgery. Am J Transplant 2007; 7: 2,532–2,537 - PubMed
    1. Hung CJ, Lin YJ, Chang SSet al.Development of laparoscopic donor nephrectomy: a strategy to increase living kidney donation incentive and maintain equivalent donor/recipient outcome. J Formos Med Assoc 2009; 108: 135–145 - PubMed