Review Article

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

Table 3

Summary of studies of postlaparoscopic donor nephrectomy testicular pain.

Study, yearStudy typeStudy sizeIpsilateral testicular pain, %Testicular pain characteristicsNotes

Kim et al., 2003 [2]Retrospective1459.6Onset: between D1–D14 with a mean of 5.4 ± 4.5 daysOne patient had no testicular flow, negative exploration
Resolved: ranged from 2 weeks to 22 months with a mean of 6.3 ± 7.2 monthsOne patient underwent ipsilateral spermatocelectomy, 86% responded to conservative management
Gjertson Sundaram, 2008 [7]prospective64Total: 21Mean intensity was 4 (range 1–8)
When gonadal vein ligated: 33Resolved: median of 34 days after surgery (range 7–110)
Preserved: 3.4
Jalali et al., 2012 [6]ProspectiveLDN:25LDN group: 44Onset: immediately after the operation and lasting for up to 4 weeksLDN: one scrotal swelling
ODN: 25ODN group: 8Mean intensity was 4.6 (SD: 2.0)ODN: 100% with mild pain resolved within 2 weeks of surgery
Sureka et al., 2015 [10]Prospective ligation of the ureter and GVGroup A: 70Group A: 14.4Mean intensity was: 3.1 (range 2–5)All of them had pain relief with conservative management by 13 ± 4.2 days (range 4–30 days).
Group A: 40 pts above 30 pts below CIV levelGroup B: 45Group B: 0Onset: in the first week (range 2–7, mean 3.2 ± 0.6 days)
Group B: all above the CIV level
Pinar et al., 2021 [9]Retrospective phone questionnaire6926.1Onset: 1 month (0.25–6)16% had scrotal swelling and 3% were hydrocele
Duration: 15.5 months (1–36)Medical consultation: 41.7%
No treatment: 36.4%
Paracetamol: 36.4%
NSAIDs: 13.6%
Amitriptyline: 4.5%