Review Article

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 DNODN value
N = 85N = 21

Age (years)30.1 ± 10.429.7 ± 14≤0.452
BMI24.8 ± 4.528.1 ± 2.1≤0.0015
Vascular anatomy
 Single artery6828
 Two arteries177
 Retroaortic vein41
 Early bifurcation of artery05
Operative time175.9 ± 24.9130 ± 22.7≤0.0001
WIT (min)5.2 ± 1.022.1 ± 1.0≤0.0001
IVF (liters)3.3 ± 0.562.9 ± 1.1≤0.061
UOP (ml)750 ± 26.6640 ± 32.3≤0.0001
EBL (ml)90 ± 2070 ± 25.5≤0.001
LOS (days)3.5 ± 1.42.9 ± 1.1≤0.024
Follow-up (months)8 ± 2.36 ± 3.4≤0.009
Testicular pain
 Ipsilateral11 (15.3%)2 (9.5%)≤0.250
 Contralateral00
 Bilateral00
Pain intensity
 Mild8 (72.7%)2 (100%)≤0.004
 Moderate1 (9%)
 Severe2 (18.3%)
Visual analogue scale score4.7 ± 2.12.1 ± 1.2≤0.0001
Pain
 Started (days postoperatively)6 ± 2.14 ± 1.1≤0.0001
 Subsided (months postoperatively)3 ± 1.11 ± 0.6≤0.0001
Ipsilateral scrotal swelling3 (4.2%)1 (4.7%)≤0.460
Ipsilateral scrotal and thigh numbness4 (5.5%)0
Pain during intercourse3 (4.2%)0
Number of combined testicular tenderness and hydrocele3 (4.2%)0
Urinary symptoms00
Sexual dysfunction00
Number of medical consultation for testicular symptoms6 (8.3%)0
Workup (scrotal USG)6 (8.3%)0
Treatment
 Paracetamol82
 NSAID40
 Antidepressant20
 Surgery00

WIT, warm ischemia time; IVF, intravenous fluid; UOP, urine output; EBL, estimated blood loss; LOS, length of hospital stay; USG, ultrasonography.