El Hennawy Hany M, Al Faifi Abdullah S, Al Atta Eisa, Safar Omar, Thamer Saad, El Nazer Weam, Kamal Ahmed I, Abdelaziz Abdelaziz A, Kawasmeh Shaher A, Mirza Naveed, Zaitoun Mohammad F, Al-Alsheikh Khalid, Shalkamy Osama, Mahedy Ahmed
Surgery Department, Section of Transplantation, Armed Forces Hospitals Southern Region, Khamis Mushayte 101, Saudi Arabia.
Urology Department, Armed Forces Hospitals Southern Region, Khamis Mushayte 101, Saudi Arabia.
Minim Invasive Surg. 2022 Mar 23;2022:3292048. doi: 10.1155/2022/3292048. eCollection 2022.
To assess incidence and characteristics of post-laparoendoscopic single-site donor nephrectomy (LESS DN) testicular pain.
A prospective comparative study of all male donors post-left LESS DN (group A) vs. postopen nephrectomies (group B) was performed at our center. Patients' demographics, perioperative data, and postoperative consultation reports were reviewed. Testicular pain, swelling, numbness, urinary symptoms, and sexual dysfunction were evaluated. Patients with a history of scrotal pathology or surgical procedure were excluded. Pain and tenderness were scored on a standard 10-point scale.
From September 2017 to December 2020, 85 and 35 male patients of groups A and B met the evaluation criteria. Ipsilateral testicular pain developed in 11 patients (15.3%) and 2 patients (9.5%) in groups A and B, respectively. In most instances, the pain was mild to moderate in severity, started after 6 ± 2.1 and 4 ± 1.1 days postoperatively in groups A and B, respectively. Six patients in group A were evaluated with transscrotal ultrasonography that showed no abnormalities. All patients in both groups responded well to medical treatment.
Post-LESS DN ipsilateral testicular pain is usually mild and self-limited. Preoperative patient education and discussion of the possibility of development of testicular pain and its management should be an integral component of laparoscopic donor nephrectomy informed consent.
评估后腹腔镜单孔供肾切除术（LESS DN）后睾丸疼痛的发生率及特点。
在我们中心对所有接受左后腹腔镜单孔供肾切除术的男性供者（A组）与接受开放性肾切除术的男性供者（B组）进行了一项前瞻性对照研究。回顾了患者的人口统计学资料、围手术期数据及术后会诊报告。评估了睾丸疼痛、肿胀、麻木、泌尿系统症状及性功能。排除有阴囊病变或手术史的患者。疼痛和压痛采用标准的10分制评分。
2017年9月至2020年12月，A组和B组分别有85例和35例男性患者符合评估标准。A组和B组分别有11例（15.3%）和2例（9.5%）出现同侧睾丸疼痛。在大多数情况下，疼痛程度为轻至中度，A组和B组分别在术后6±2.1天和4±1.1天开始出现。A组6例患者接受经阴囊超声检查，结果未见异常。两组所有患者对药物治疗反应良好。
LESS DN术后同侧睾丸疼痛通常较轻且为自限性。术前对患者进行教育并讨论睾丸疼痛发生的可能性及其处理方法应作为腹腔镜供肾切除术知情同意书的一个组成部分。
