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Case Reports
. 2016 Jun 29:8:31-3.
doi: 10.1016/j.eucr.2016.06.003. eCollection 2016 Sep.

Laparoscopic Kidney Denervation for Refractory Loin Pain: Can We Predict Outcomes?

Victor Srougi  1 , Ricardo J Duarte  1 , Miguel Srougi  1 , Luis Yu  2
Affiliations
Case Reports

Laparoscopic Kidney Denervation for Refractory Loin Pain: Can We Predict Outcomes?

Victor Srougi et al. Urol Case Rep. .

Abstract

A 19-year-old female patient presented refractory disabling loin pain associated with mild kidney atrophy (split renal function of 33%). Investigation revealed elevated serum renin level; a therapeutic test with oral renin inhibitor was tried, obtaining important pain control. Aiming to resolve the symptom while preserving the patient kidney and attributing the pain mechanism to be associated with the abnormal renin production, a laparoscopic kidney denervation was performed with no complications and complete pain resolution.

Keywords: ADPKD, autosomal dominant polycystic kidney disease; CT, computed tomography; Chronic loin pain; Laparoscopic; Renal denervation; Renin inhibitor; UTI, urinary tract infection; VUR, vesico-ureteral reflux.

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Figures

Figure 1
Figure 1
Pre-operative TC revealing the right kidney with diminished parenchyma.
Figure 2
Figure 2
Surgery image of renal denervation. K: Kidney; RV: Renal vein; White arrow: Peri-hilar nerve being cauterized.
Figure 3
Figure 3
Final aspect of right renal denervation after hilar skeletonizing. K: Kidney; L: Liver; A: Renal artery; V: Renal vein.
See this image and copyright information in PMC

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References

    1. Blacklock A.R. Renal denervation with releasing renal capsule incision in the loin pain/haematuria syndrome. Br J Urol. 1989;64:203–204. - PubMed
    1. Andrews B.T., Jones N.F., Browse N.L. The use of surgical sympathectomy in the treatment of chronic renal pain. Br J Urol. 1997;80:6–10. - PubMed
    1. Greenwell T.J., Peters J.L., Neild G.H., Shah P.J. The outcome of renal denervation for managing loin pain haematuria syndrome. BJU Int. 2004;93:818–821. - PubMed
    1. Casale P., Meyers K., Kaplan B. Follow-up for laparoscopic renal denervation and nephropexy for autosomal dominant polycystic kidney disease-related pain in pediatrics. J Endourol. 2008;22:991–993. - PubMed
    1. Kadi N., Mains E., Townell N., Nabi G. Transperitoneal laparoscopic renal denervation for the management of loin pain haematuria syndrome. Minim Invasive Ther Allied Technol. 2013;22:346–351. - PubMed

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