Post-Laparoendoscopic Single-Site Donor Nephrectomy Ipsilateral Testicular Pain, Does Operative Technique Matter? A Single Center Experience and Review of Literature
Table 1
Patients’ characteristics and perioperative data.
Mean (±SD)
LESS DN
ODN
value
N = 85
N = 21
Age (years)
30.1 ± 10.4
29.7 ± 14
≤0.452
BMI
24.8 ± 4.5
28.1 ± 2.1
≤0.0015
Vascular anatomy
Single artery
68
28
—
Two arteries
17
7
—
Retroaortic vein
4
1
—
Early bifurcation of artery
0
5
—
Operative time
175.9 ± 24.9
130 ± 22.7
≤0.0001
WIT (min)
5.2 ± 1.02
2.1 ± 1.0
≤0.0001
IVF (liters)
3.3 ± 0.56
2.9 ± 1.1
≤0.061
UOP (ml)
750 ± 26.6
640 ± 32.3
≤0.0001
EBL (ml)
90 ± 20
70 ± 25.5
≤0.001
LOS (days)
3.5 ± 1.4
2.9 ± 1.1
≤0.024
Follow-up (months)
8 ± 2.3
6 ± 3.4
≤0.009
Testicular pain
Ipsilateral
11 (15.3%)
2 (9.5%)
≤0.250
Contralateral
0
0
—
Bilateral
0
0
—
Pain intensity
Mild
8 (72.7%)
2 (100%)
≤0.004
Moderate
1 (9%)
—
—
Severe
2 (18.3%)
—
—
Visual analogue scale score
4.7 ± 2.1
2.1 ± 1.2
≤0.0001
Pain
Started (days postoperatively)
6 ± 2.1
4 ± 1.1
≤0.0001
Subsided (months postoperatively)
3 ± 1.1
1 ± 0.6
≤0.0001
Ipsilateral scrotal swelling
3 (4.2%)
1 (4.7%)
≤0.460
Ipsilateral scrotal and thigh numbness
4 (5.5%)
0
—
Pain during intercourse
3 (4.2%)
0
—
Number of combined testicular tenderness and hydrocele
3 (4.2%)
0
—
Urinary symptoms
0
0
—
Sexual dysfunction
0
0
—
Number of medical consultation for testicular symptoms